Organization
GASTROENTEROLOGY & HEPATOLOGY CONSULTANTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE DENTON (BILLING DEPT)
(919) 496-2745
Entity
Organization
Contact information
Practice address
10540 LIGON MILL RD STE 109, WAKE FOREST, NC 27587-6090
(919) 554-6253
(919) 554-3777
Mailing address
10540 LIGON MILL RD STE 109, WAKE FOREST, NC 27587-6090
(919) 554-6253
(919) 554-3777
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
200000347
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019TW
BCBS OF NC
—
01
—
2280357
MEDICARE GROUP
NC
05
—
5908654
—
NC
Enumeration date
07/12/2007
Last updated
08/17/2022
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