MEDICARE: REGIONAL GASTROENTEROLOGY ASSOCIATES PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831204700
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REGIONAL GASTROENTEROLOGY ASSOCIATES PA

Provider Business Mailing Address
First Line	:	2609 N DUKE ST
Second Line	:	STE 503
City	:	DURHAM
State	:	NC
Zip	:	27704-3019
Country	:	US
Telephone Number	:	919-479-0860
Fax Number	:	919-479-5503

Provider Business Practice Location Address
First Line	:	2609 N DUKE ST
Second Line	:	STE 503
City	:	DURHAM
State	:	NC
Zip	:	27704-3019
Country	:	US
Telephone Number	:	919-479-0860
Fax Number	:	919-479-5503

Authorized Official
Title or Position	:	PRESIDENT
Name	:	STEVEN C SOLIK
Credential	:	MD
Telephone Number	:	919-479-0860

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	03/18/2010

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