| Tri-cities Gastroenterology, PC | |
|
1714. E. Hundred Rd. Suite 104 Chester VA 23836-3310 | |
| (804) 681-0556 | |
| (804) 681-0553 |
| Full Name | Tri-cities Gastroenterology, PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1714. E. Hundred Rd., Chester, Virginia |
| Authorized Official Name and Position | Gregory K Lemite (PRESIDENT) |
| Authorized Official Contact | 8046810556 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-cities Gastroenterology, PC 1714 E Hundred Rd. Suite 104 Chester VA 23836-3310 Ph: (804) 681-0556 | Tri-cities Gastroenterology, PC 1714. E. Hundred Rd. Suite 104 Chester VA 23836-3310 Ph: (804) 681-0556 |
| NPI Number | 1538128277 |
|---|---|
| Provider Enumeration Date | 03/21/2006 |
| Last Update Date | 07/27/2012 |
| Medicare PECOS PAC ID | 1052305422 |
|---|---|
| Medicare Enrollment ID | O20040409000449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538128277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (NU) | Primary |
| Provider Name | Gregory K Lemite |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528027224 PECOS PAC ID: 3678567047 Enrollment ID: I20040409000462 |
| Provider Name | Amanda Janis Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669106332 PECOS PAC ID: 2961878228 Enrollment ID: I20221012001297 |
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