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Organization

ADVANCED GASTROENTEROLOGY ASSOCIATES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAVI REDDY (OWNER)
(704) 982-9800
Entity
Organization

Contact information

Practice address
929 NORTH SECOND STREET, SUITE 105, ALBEMARLE, NC 28001
(704) 982-9800
(704) 982-5112
Mailing address
929 NORTH SECOND STREET, SUITE 105, ALBEMARLE, NC 28001
(704) 982-9800
(704) 982-5112

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89137F3
NC
Enumeration date
02/01/2006
Last updated
08/22/2020
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