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Organization
GASTRO-INTESTINAL CENTER INC
Active
Organization
GASTRO-INTESTINAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CARLTON (CREDENTIALING)
(501) 664-6980
Entity
Organization
Contact information
Practice address
10001 LILE DR, LITTLE ROCK, AR 72205-6217
(501) 663-1074
Mailing address
11700 CANTRELL RD, LITTLE ROCK, AR 72223-1705
(501) 663-1074
(501) 663-0906
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116475128
—
AR
Enumeration date
11/15/2005
Last updated
07/27/2026
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