Organization
GASTROINTESTINAL HEALTHCARE PA
Active
Other names
DIGESTIVE DISEASES DIAGNOSTIC CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY B FISH RN (OFFICE MANAGER)
(919) 881-0795
Entity
Organization
Contact information
Practice address
2011 FALLS VALLEY DR, SUITE 106, RALEIGH, NC 27615-3451
(919) 881-0743
(919) 881-0822
Mailing address
2011 FALLS VALLEY DR, SUITE 106, RALEIGH, NC 27615-3451
(919) 881-0743
(919) 881-0822
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202P
BLUE CROSS BLUE SHIELD
NC
05
—
790202P
—
NC
01
—
DD2963
RAILROAD MEDICARE
NC
Enumeration date
05/27/2006
Last updated
03/17/2008
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