# CAROLINA DIGESTIVE DISEASES, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023257300
- **Authorized official:** DR. PHILLIP GOLDSTEIN MD (PRESIDENT, OWNER)
- **Authorized official phone:** (252) 758-8181

## Contact information

- **Practice address:** 704 W H SMITH BLVD, GREENVILLE, NC 27834-3761
- **Practice address phone:** (252) 758-8181
- **Practice address fax:** (252) 758-8182
- **Mailing address:** 704 W H SMITH BLVD, GREENVILLE, NC 27834-3761
- **Mailing address phone:** (252) 758-8181
- **Mailing address fax:** (252) 758-8182

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | AS0118 | NC | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | AS0118 | NC | Yes |
| 261QE0800X | Endoscopy Clinic/Center | AS0118 | NC | — |
| 291U00000X | Clinical Medical Laboratory | 34D2055053 | NC | — |

## Other

- **Enumeration date:** 02/11/2009
- **Last updated:** 08/05/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5906998 | — | NC |