Consultative Gastroenterolgy, Pa

LBN: Consultative Gastroenterolgy, Pa
Consultative Gastroenterolgy, Pa is an health care organization with primary practice located at 118 Montgomery Dr , Anderson SC 29621-3334. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Consultative Gastroenterolgy, Pa can be contacted via phone (864) 224-1692, or through Lund, Carl M via phone (864) 224-1692.

Contact Information

Primary practice address
118 Montgomery Dr Anderson SC 29621-3334
Phone: (864) 224-1692
Fax: (864) 224-0103
Website:
Map and Directions
Authorized official contact:
Name: Lund, Carl M Doctor of Medicine (MD)
Phone: (864) 224-1692

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1104895911
LBN Legal business name Consultative Gastroenterolgy, Pa
DBA Doing business as
Authorized official Lund, Carl M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104895911 NPPES
South Carolina MEDICAID PA3736

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