Organization
CAROLINA DIGESTIVE DISEASES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP GOLDSTEIN MD (PRESIDENT, OWNER)
(252) 758-8181
Entity
Organization
Contact information
Practice address
704 W H SMITH BLVD, GREENVILLE, NC 27834-3761
(252) 758-8181
(252) 758-8182
Mailing address
704 W H SMITH BLVD, GREENVILLE, NC 27834-3761
(252) 758-8181
(252) 758-8182
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
AS0118
NC
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AS0118
NC
261QE0800X
Endoscopy Clinic/Center
AS0118
NC
291U00000X
Clinical Medical Laboratory
34D2055053
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5906998
—
NC
Enumeration date
02/11/2009
Last updated
08/05/2020
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