# CAROLINA GASTROENTEROLOGY SPECIALISTS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAROLINA GASTROENTEROLOGY SPECIALISTS PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063667020
- **Legal business name:** CAROLINA GASTROENTEROLOGY SPECIALISTS PLLC
- **Authorized official:** VENKATESH LAKSHMAN (OWNER MEDICAL DIRECTOR)
- **Authorized official phone:** (252) 206-5622

## Contact information

- **Practice address:** 3520 AIRPORT BLVD NW STE F, WILSON, NC 27896-8674
- **Practice address phone:** (252) 206-5622
- **Practice address fax:** (252) 206-5623
- **Mailing address:** 3520 AIRPORT BLVD NW STE F, WILSON, NC 27896-8674
- **Mailing address phone:** (252) 206-5622
- **Mailing address fax:** (252) 206-5623

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | AS0112 | NC | Yes |

## Other

- **Enumeration date:** 11/18/2008
- **Last updated:** 11/17/2025