Organization
CHARLOTTE GASTROENTEROLOGY & HEPATOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER HICKS (CEO)
(704) 377-4009
Entity
Organization
Contact information
Practice address
13808 PROFESSIONAL CENTER DR, HUNTERSVILLE, NC 28078-7948
(704) 377-4009
Mailing address
2015 RANDOLPH RD, SUITE 208, CHARLOTTE, NC 28207-1128
(704) 377-4009
(704) 815-1655
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
07/22/2006
Last updated
05/29/2025
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