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Organization

QUEEN CITY GASTROENTEROLOGY & HEPATOLOGY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE OGUNWALE (ADMINISTRATOR / MANAGER)
(704) 362-4403
Entity
Organization

Contact information

Practice address
320 LILLINGTON AVE, SUITE 101, CHARLOTTE, NC 28204-3189
(704) 362-4403
(704) 362-4405
Mailing address
320 LILLINGTON AVE, SUITE 101, CHARLOTTE, NC 28204-3189
(704) 362-4403
(704) 362-4405

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Enumeration date
11/10/2010
Last updated
02/21/2020
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