Organization
CAROLINA GASTROENTEROLOGY SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VENKATESH LAKSHMAN MD (PRESIDENT)
(252) 206-5622
Entity
Organization
Contact information
Practice address
3520 AIRPORT BLVD NW STE F, WILSON, NC 27896-8674
(252) 206-5622
(252) 206-5623
Mailing address
3520 AIRPORT BLVD NW, SUITE F, WILSON, NC 27896-8674
(252) 206-5622
(252) 206-5623
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1388C
BCBS
NC
01
—
193133
MEDCOST
NC
05
—
5900445
—
NC
01
—
7407289
AETNA
NC
Enumeration date
04/03/2007
Last updated
05/14/2020
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