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Organization

APPALACHIAN GASTROENTEROLOGY PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOUGLAS TRATE M.D. (OWNER)
(828) 264-0029
Entity
Organization

Contact information

Practice address
870 STATE FARM RD, SUITE 102, BOONE, NC 28607-4861
(828) 264-0029
(828) 265-3305
Mailing address
870 STATE FARM RD, SUITE 102, BOONE, NC 28607-4861
(828) 264-0029
(828) 265-3305

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
9600754
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8901472
NC
Enumeration date
01/03/2006
Last updated
08/22/2020
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