Organization
GASTROENTEROLOGY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HICKEY (ADMINISTRATOR)
(864) 232-7338
Entity
Organization
Contact information
Practice address
125 HALTON ROAD, SUITE 200, GREENVILLE, SC 29607-3507
(864) 232-7338
(864) 239-6645
Mailing address
PO BOX 8676, GREENVILLE, SC 29604-8676
(864) 232-7338
(864) 239-6645
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
=========
BCBS OF SC
SC
05
—
PA1845
—
SC
Enumeration date
07/03/2006
Last updated
08/30/2022
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