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Organization

CONSULTATIVE GASTROENTEROLGY, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARL M LUND M.D. (PRESIDENT)
(864) 224-1692
Entity
Organization

Contact information

Practice address
118 MONTGOMERY DR, ANDERSON, SC 29621-3334
(864) 224-1692
(864) 224-0103
Mailing address
118 MONTGOMERY DR, ANDERSON, SC 29621-3334
(864) 224-1692
(864) 224-0103

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PA3736
SC
Enumeration date
03/15/2006
Last updated
08/22/2020
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