Organization
CABARRUS GASTROENTEROLOGY ASSOCIATES, PLLC
Active
Parent organization
CABARRUS GASTROENTEROLOGY ASSOCIATES, PLLC
Other names
Northeast Digestive Health Center Edison Square
Organization subpart
Yes
Provider details
NPI number
Legal business name
CABARRUS GASTROENTEROLOGY ASSOCIATES, PLLC
Authorized official
MARK ALDOUS MD (MANAGING PARTNER)
(704) 783-1840
Entity
Organization
Contact information
Practice address
10030 EDISON SQUARE DR NW, SUITE 204, CONCORD, NC 28027-8308
(704) 783-1840
(704) 783-1850
Mailing address
1070 VINEHAVEN DR NE, CONCORD, NC 28025-2438
(704) 783-1840
(704) 783-1850
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
AS0104
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194142422
—
NC
01
—
1396923322
NPI
NC
05
—
1508279043
—
NC
05
—
5904428
—
NC
05
—
710009300
—
NC
05
—
891031V
—
NC
05
—
89128WY
—
NC
05
—
89136HK
—
NC
05
—
8926776
—
NC
05
—
8971386
—
NC
Enumeration date
01/06/2017
Last updated
01/06/2017
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