Organization
CAROLINA DIGESTIVE DISEASES CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUSTIN AZUBIKE OSEMEKA M.D. (PRESIDENT)
(704) 823-8885
Entity
Organization
Contact information
Practice address
2682 COURT DR, SUITE A, GASTONIA, NC 28054-1440
(704) 823-8885
(704) 823-8898
Mailing address
2682 COURT DR, SUITE A, GASTONIA, NC 28054-1440
(704) 823-8885
(704) 823-8898
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9701094
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119E
BLUE CROSS BLUE SHIELD
NC
05
—
8911078
—
NC
Enumeration date
04/04/2007
Last updated
01/07/2010
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