Organization · Type 2 NPI

Carolina Digestive Health Associates, PA

Ambulatory Surgical Clinic/Center · Charlotte, NC

NPI number 1063584415 Active

Practice location

300 Billingsley Road, Suite 200B
Charlotte, NC 28211-3092

Call (704) 372-7974 Map

Fax (704) 372-4966

Mailing address

PO Box 96314
Charlotte, NC 28296-0314

Specialties and licenses

Taxonomy	Code	License
Ambulatory Surgical Clinic/Center Primary	261QA1903X	None listed

Ambulatory Surgical Clinic/Center: Definition to come...

Another provider at this address

Jennifer Mercedes Bizuneh, NP-CAdult Health Nurse Practitioner Charlotte, NC NPI 1235428293

Other ambulatory surgical clinic/center providers in Charlotte

See all in Charlotte →

NPI record

NPI: 1063584415
Entity type: Organization (Type 2)
Issued: Nov 14, 2006
Last updated: Mar 12, 2024
Status: Active
Subpart: Yes of Carolina Digestive Health Associates, PA

Other names

<unavail>
Carolina Digestive Endoscopy Center · doing business as
Carolina Digestive Endoscopy Center · doing business as

Authorized official

Julie Rothrock
Credentialing Coordinator
(704) 372-7974

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1063584415

Carolina Digestive Health Associates, PA's National Provider Identifier is 1063584415, issued on Nov 14, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Charlotte, NC. The record was last updated on Mar 12, 2024.