Organization
TRYON ENDOSCOPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALIKAH Y HODO (REVENUE CYCLE MANAGER)
(704) 259-4621
Entity
Organization
Contact information
Practice address
16817 MARVIN ROAD, CHARLOTTE, NC 28277-2196
(704) 495-6036
Mailing address
5960 FAIRVIEW RD STE 500, CHARLOTTE, NC 28210-3113
(704) 495-6334
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QE0800X
Endoscopy Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2019
Last updated
03/14/2024
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