# CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA
- **Other names:** Carolina Digestive Endoscopy Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063584415
- **Legal business name:** CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA
- **Authorized official:** JULIE ROTHROCK (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (704) 372-7974

## Contact information

- **Practice address:** 300 BILLINGSLEY ROAD, SUITE 200B, CHARLOTTE, NC 28211-3092
- **Practice address phone:** (704) 372-7974
- **Practice address fax:** (704) 372-4966
- **Mailing address:** PO BOX 96314, CHARLOTTE, NC 28296-0314
- **Mailing address phone:** (704) 372-7974
- **Mailing address fax:** (704) 970-4746

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 03/12/2024