Southeastern Gastroenterology Endoscopy Center, Pa in Lumberton - Ambulatory Surgical
Southeastern Gastroenterology Endoscopy Center, Pa - NPI 1588720072
Southeastern Gastroenterology Endoscopy Center, Pa is a Ambulatory Surgical in Lumberton, North Carolina. Southeastern Gastroenterology Endoscopy Center, Pa practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Southeastern Gastroenterology Endoscopy Center, Pa is 1588720072. The last update date is 2017-01-24.
Southeastern Gastroenterology Endoscopy Center, Pa's current location address is 101 W 27th St, Lumberton, North Carolina. You can contact this provider via phone number 9107390770 and fax number 9107394102. The mailing address for Southeastern Gastroenterology Endoscopy Center, Pa is 101 W 27th St, Lumberton, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeastern Gastroenterology Endoscopy Center, Pa |
|---|---|
| Address | 101 W 27th St, Lumberton, North Carolina |
| Phone Number | 9107390770 |
| Fax Number | 9107394102 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Augustine Santhosh |
| Credentials | MD |
| Telephone Number | 9107390770 |
NPI Number Detail
| NPI Number | 1588720072 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| Last Updated Date | 2017-01-24 |
Provider Mailing Address Detail
| Address | 101 W 27th St |
|---|---|
| City | Lumberton |
| State | North Carolina (NC) |
| Post Code | 283583014 |
| Phone Number | 9107390770 |
| Fax Number | 9107394102 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 138988 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3409832 | NC | -- | |
| 02BBD | NC | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Southeastern Gastroenterology Endoscopy Center, Pa by the Centers for Medicare & Medicaid Services?
The Southeastern Gastroenterology Endoscopy Center, Pa has been assigned the NPI (National Provider Identifier) 1588720072 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Southeastern Gastroenterology Endoscopy Center, Pa's facilities are geographically located?
The facilities of Southeastern Gastroenterology Endoscopy Center, Pa are physically situated at the following location: 101 W 27Th St, Lumberton, NC, 283583014.
What is the Southeastern Gastroenterology Endoscopy Center, Pa's specialty and taxonomy code?
The Southeastern Gastroenterology Endoscopy Center, Pa's specialty is Ambulatory Surgical, and the corresponding taxonomy code is 261Qa1903X.
On what date was the 1588720072 assigned to Southeastern Gastroenterology Endoscopy Center, Pa?
The Southeastern Gastroenterology Endoscopy Center, Pa was issued its 1588720072 on 2006-12-29, 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 Southeastern Gastroenterology Endoscopy Center, Pa most recently updated?
The details pertaining to the Southeastern Gastroenterology Endoscopy Center, Pa, including its address, specialty, and other relevant information, were last refreshed on 2017-01-24.
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