Jacksonville Digestive Diseases Clinic Pa

LBN: Jacksonville Digestive Diseases Clinic Pa
Jacksonville Digestive Diseases Clinic Pa is an health care organization with primary practice located at 224 Memorial Dr Suite A, Jacksonville NC 28546. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Jacksonville Digestive Diseases Clinic Pa can be contacted via phone (910) 577-1444, or through Issa, Clarita Q via phone (910) 577-1444.

Contact Information

Primary practice address
224 Memorial Dr Suite A Jacksonville NC 28546
Phone: (910) 577-1444
Fax: (910) 577-1001
Website:
Map and Directions
Authorized official contact:
Name: Issa, Clarita Q
Phone: (910) 577-1444

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 22581 North Carolina

Profile Details

NPI number 1861506545
LBN Legal business name Jacksonville Digestive Diseases Clinic Pa
DBA Doing business as
Authorized official Issa, Clarita Q
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2006
Last updated Nov 14th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1861506545 NPPES
North Carolina Other 45475 BC
North Carolina MEDICAID 8945475 BC

Popular Providers