Healthcare Provider Details

I. General information

NPI: 1740238435
Provider Name (Legal Business Name): ATLANTIC GASTROENTEROLOGY PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2465 EMERALD PL
GREENVILLE NC
27834-5785
US

IV. Provider business mailing address

2465 EMERALD PL
GREENVILLE NC
27834-5785
US

V. Phone/Fax

Practice location:
  • Phone: 252-758-2424
  • Fax: 252-758-0424
Mailing address:
  • Phone: 252-758-2424
  • Fax: 252-758-0424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS M STURGIS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 252-758-2424