| Marlboro Gastroenterology Associates Pa | |
|
102 Endo Ln Hamlet NC 28345-4560 | |
| (910) 205-3035 | |
| (910) 205-3062 |
| Full Name | Marlboro Gastroenterology Associates Pa |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 102 Endo Ln, Hamlet, North Carolina |
| Authorized Official Name and Position | Patricia J Riddle (OFFICE MGR ADMINISTRATOR) |
| Authorized Official Contact | 8434799794 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marlboro Gastroenterology Associates Pa Po Box 617 Bennettsville SC 29512-0617 Ph: (843) 479-6268 | Marlboro Gastroenterology Associates Pa 102 Endo Ln Hamlet NC 28345-4560 Ph: (910) 205-3035 |
| NPI Number | 1922077403 |
|---|---|
| Provider Enumeration Date | 03/16/2006 |
| Last Update Date | 05/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922077403 | NPI | - | NPPES |
| 0191F | Other | NC | BCBS GROUP |
| PC1896 | Medicaid | SC | |
| DE8861 | Other | SC | SC RR MEDICARE GROUP |
| 890191F | Medicaid | NC | |
| CF8544 | Other | NC | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 10779 (South Carolina) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | 27767 (North Carolina) | Primary |
Hamlet Hma Ppm Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1021 W Hamlet Ave, Suite 5, Hamlet, NC 28345 Phone: 910-582-5166 Fax: 910-582-5168 | |
Goshen Medical Center Incorporated Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 106 Jefferson St, Hamlet, NC 28345 Phone: 910-267-2042 Fax: 910-321-8762 | |
Novant Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 W Hamlet Ave, Hamlet, NC 28345 Phone: 910-205-7775 Fax: 910-205-7796 | |
Novant Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1021 W Hamlet Ave Ste 5, Dba The Sandhills Medical Group, Hamlet, NC 28345 Phone: 910-582-5166 Fax: 910-582-5166 | |
Tarheel Family Medicine Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 224 W Main St, Ste A, Hamlet, NC 28345 Phone: 910-582-2696 Fax: 910-582-2640 | |
Hamlet Hma Ppm Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Jefferson St, Hamlet, NC 28345 Phone: 910-582-3445 Fax: 910-582-4475 | |
Novant Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Endo Ln, Suite 3, Hamlet, NC 28345 Phone: 910-582-2842 Fax: 910-205-3724 |