Organization
ASHEBORO DIGESTIVE DISEASE CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESIA S MISENHEIMER (OFFICE MANAGER)
(336) 629-5989
Entity
Organization
Contact information
Practice address
548 GREENSBORO ST, ASHEBORO, NC 27203-5573
(336) 629-5989
(336) 629-9868
Mailing address
548 GREENSBORO ST, ASHEBORO, NC 27203-5573
(336) 629-5989
(336) 629-9868
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8959547
—
NC
Enumeration date
06/05/2007
Last updated
05/25/2022
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