Organization
MARLBORO GASTROENTEROLOGY ASSOCIATES PA
Active
Parent organization
MARLBORO GASTROENTEROLOGY ASSOCIATES PA
Other names
MARLBORO GI ENDOSCOPY CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARLBORO GASTROENTEROLOGY ASSOCIATES PA
Authorized official
MRS. PATRICIA J RIDDLE (ADMINISTRATOR)
(843) 479-9794
Entity
Organization
Contact information
Practice address
102 ENDO LN, SUITE 1, HAMLET, NC 28345-4560
(910) 582-3636
(910) 205-2251
Mailing address
PO BOX 617, BENNETTSVILLE, SC 29512-0617
(843) 479-9794
(843) 479-8076
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AS0083
NC
261QE0800X
Endoscopy Clinic/Center
AS0083
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409943
—
NC
01
—
P00364907
RR MEDICARE
NC
Enumeration date
11/17/2006
Last updated
06/17/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us