Jacksonville Digestive Diseases Clinic Pa in Jacksonville - Gastroenterology
Jacksonville Digestive Diseases Clinic Pa - NPI 1861506545
Jacksonville Digestive Diseases Clinic Pa is a Gastroenterology in Jacksonville, North Carolina. Jacksonville Digestive Diseases Clinic Pa practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Jacksonville Digestive Diseases Clinic Pa is 1861506545. The last update date is 2007-11-14.
Jacksonville Digestive Diseases Clinic Pa's current location address is 224 Memorial Dr, Jacksonville, North Carolina. You can contact this provider via phone number 9105771444 and fax number 9105771001. The mailing address for Jacksonville Digestive Diseases Clinic Pa is 224 Memorial Dr, Jacksonville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jacksonville Digestive Diseases Clinic Pa |
|---|---|
| Address | 224 Memorial Dr, Jacksonville, North Carolina |
| Phone Number | 9105771444 |
| Fax Number | 9105771001 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CORP SEC |
|---|---|
| Authorized Official Name | Issa Q Clarita |
| Telephone Number | 9105771444 |
NPI Number Detail
| NPI Number | 1861506545 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2007-11-14 |
Provider Mailing Address Detail
| Address | 224 Memorial Dr |
|---|---|
| City | Jacksonville |
| State | North Carolina (NC) |
| Post Code | 28546 |
| Phone Number | 9105771444 |
| Fax Number | 9105771001 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | 22581 |
|
Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 45475 | NC | BC | |
| 8945475 | NC | -- |
Post Comment/ Review Below
What is the Jacksonville Digestive Diseases Clinic Pa's 1861506545?
The Jacksonville Digestive Diseases Clinic Pa's NPI (National Provider Identifier) Number is 1861506545. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jacksonville Digestive Diseases Clinic Pa?
The Jacksonville Digestive Diseases Clinic Pa is physically situated at 224 Memorial Dr, in the city of Jacksonville, state of NC, with the postal code 28546.
What is Jacksonville Digestive Diseases Clinic Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jacksonville Digestive Diseases Clinic Pa is Gastroenterology, and the corresponding taxonomy classification code for this specialized field is 207Rg0100X.
On what date was the 1861506545 assigned to Jacksonville Digestive Diseases Clinic Pa?
The Jacksonville Digestive Diseases Clinic Pa was issued its 1861506545 on 2006-08-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jacksonville Digestive Diseases Clinic Pa most recently updated?
The details pertaining to the Jacksonville Digestive Diseases Clinic Pa, including its address, specialty, and other relevant information, were last refreshed on 2007-11-14.