Organization
CAROLINA CLINIC FOR DIGESTIVE DISEASES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CADDICK M.D. (PRESIDENT)
(704) 854-9990
Entity
Organization
Contact information
Practice address
1040 X RAY DR, STE B, GASTONIA, NC 28054-5438
(704) 854-9990
(704) 854-9045
Mailing address
1040 X RAY DR, STE B, GASTONIA, NC 28054-5438
(704) 854-9990
(704) 854-9045
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
33956
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8902001
—
NC
Enumeration date
11/06/2006
Last updated
08/22/2020
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