Organization
CHARLOTTE GASTROENTEROLOGY & HEPATOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER HICKS (CHIEF EXECUTIVE OFFI)
(704) 377-4009
Entity
Organization
Contact information
Practice address
11430 RED RUST LN STE 101, CHARLOTTE, NC 28277-4948
(704) 377-4009
Mailing address
13808 PROFESSIONAL CENTER DR, HUNTERSVILLE, NC 28078-7948
(704) 377-4009
(704) 375-6970
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409963
—
NC
Enumeration date
08/22/2008
Last updated
02/24/2026
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