Organization
CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA
Active
Other names
Carolina Digestive Pathology Lab
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE ROTHROCK (CREDENTIALING COORDINATOR)
(704) 372-7974
Entity
Organization
Contact information
Practice address
300 BILLINGSLEY RD STE 200, CHARLOTTE, NC 28211-1180
(704) 372-7974
(704) 372-8201
Mailing address
PO BOX 96314, CHARLOTTE, NC 28296-0314
(704) 372-7974
(704) 372-8201
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
40474
NC
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7901569
—
NC
Enumeration date
07/11/2006
Last updated
09/17/2024
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