# GOLDSBORO ENDOSCOPY CENTER INC

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

## Provider details

- **NPI number:** 1205804697
- **Authorized official:** DR. V C MOTAPARTHY MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (919) 580-9111

## Contact information

- **Practice address:** 2705 MEDICAL OFFICE PL, GOLDSBORO, NC 27534-9458
- **Practice address phone:** (919) 580-9111
- **Practice address fax:** (919) 580-0988
- **Mailing address:** 2705 MEDICAL OFFICE PL, GOLDSBORO, NC 27534-9458
- **Mailing address phone:** (919) 580-9111
- **Mailing address fax:** (919) 580-0988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | AS0057 | NC | Yes |

## Other

- **Enumeration date:** 03/10/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00678 | BCBSNC PROVIDER \# | NC |
| 05 | — | 3409905 | — | NC |