Organization
CLEVELAND GASTROENTEROLOGY ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ELIZABETH GLOVER (OFFICE MANAGER)
(704) 480-0008
Entity
Organization
Contact information
Practice address
808 N WASHINGTON ST, SHELBY, NC 28150-3858
(704) 480-0008
(704) 480-0010
Mailing address
808 N WASHINGTON ST, SHELBY, NC 28150-3858
(704) 480-0008
(704) 480-0010
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890140G
—
NC
Enumeration date
01/31/2006
Last updated
06/11/2019
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