Organization
MID CAROLINA GASTROENTEROLOGY ASSOCIATES, PA
Active
Organization
MID CAROLINA GASTROENTEROLOGY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARION BUTLER PATE III M.D. (PRESIDENT)
(919) 774-4511
Entity
Organization
Contact information
Practice address
110 DENNIS DR, SANFORD, NC 27330-6343
(919) 774-4511
(919) 774-3196
Mailing address
110 DENNIS DR, SANFORD, NC 27330-6343
(919) 774-4511
(919) 774-3196
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
AS0094
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34C0001125
ASC IDENTIFICATION NUMBER
NC
Enumeration date
06/24/2008
Last updated
09/29/2014
Update your record
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