Fayetteville Gastroenterology Associates, P.A. in Fayetteville - Endoscopy

Fayetteville Gastroenterology Associates, P.A. - NPI 1417141623

Fayetteville Gastroenterology Associates, P.A. is a Endoscopy in Fayetteville, North Carolina. Fayetteville Gastroenterology Associates, P.A. practices all healthcare services and medical treatments related to Endoscopy. The NPI Number for Fayetteville Gastroenterology Associates, P.A. is 1417141623. The last update date is 2021-02-11.

Fayetteville Gastroenterology Associates, P.A.'s current location address is 2041 Valleygate Dr, Fayetteville, North Carolina. You can contact this provider via phone number 9103235203 and fax number 9103233650. The mailing address for Fayetteville Gastroenterology Associates, P.A. is 2041 Valleygate Dr, Fayetteville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Fayetteville Gastroenterology Associates, P.A.
Address 2041 Valleygate Dr, Fayetteville, North Carolina
Phone Number 9103235203
Fax Number 9103233650
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRACTICE A
Authorized Official Name Casillo M. Tina
Telephone Number 9103235203

NPI Number Detail

NPI Number 1417141623
Provider Enumeration Date 2007-08-30
Last Updated Date 2021-02-11

Provider Mailing Address Detail

Address 2041 Valleygate Dr
City Fayetteville
State North Carolina (NC)
Post Code 283043745
Phone Number 9103235203
Fax Number 9103233650

Provider's Primary Taxonomy Detail

Speciality Endoscopy
Taxonomy 261Qe0800X
Licence No AS0071
Definition:
Examines internal organs and cavities using an endoscope inserted through small incisions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2380979 NC MEDICARE FACILITY NUMBER

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FAQs about Fayetteville Gastroenterology Associates, P.A.

What is the Fayetteville Gastroenterology Associates, P.A.'s unique identification number?

The Fayetteville Gastroenterology Associates, P.A. has been assigned the NPI (National Provider Identifier) Number 1417141623 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Fayetteville Gastroenterology Associates, P.A.?

The Fayetteville Gastroenterology Associates, P.A. is physically situated at 2041 Valleygate Dr, in the city of Fayetteville, state of NC, with the postal code 283043745.

What is Fayetteville Gastroenterology Associates, P.A.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Fayetteville Gastroenterology Associates, P.A. is Endoscopy, and the taxonomy classification code that categorizes this area of expertise is 261Qe0800X.

On what date did Fayetteville Gastroenterology Associates, P.A. receive its 1417141623 assignment from the Centers for Medicare & Medicaid Services?

The Fayetteville Gastroenterology Associates, P.A. was assigned its 1417141623 on 2007-08-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Fayetteville Gastroenterology Associates, P.A., such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Fayetteville Gastroenterology Associates, P.A., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-02-11.

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