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1285929794 NPI number — CAROLINA DIGESTIVE DISEASE PA

NPI Number: 1285929794
Health Care Provider/Practitioner: CAROLINA DIGESTIVE DISEASE PA

Information about “1285929794” NPI (CAROLINA DIGESTIVE DISEASE PA) exists in 1285929794 in HTML format HTML  |  1285929794 in plain Text format TXT  |  1285929794 in PDF (Portable Document Format) PDF  |  1285929794 in an XML format XML  formats.

NPI Number : 1285929794 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285929794",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CAROLINA DIGESTIVE DISEASE PA",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "950 E STATE HIGHWAY 114 STE 200",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SOUTHLAKE",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76092-5261",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "214-424-2200",
    "MailingAddressFaxNumber": "214-231-2159",
    "FirstLinePracticeLocationAddress": "2750 LAUREL ST STE 201",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLUMBIA",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29204-2024",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "803-799-8098",
    "PracticeLocationAddressFaxNumber": "803-255-0018",
    "EnumerationDate": "06/13/2011",
    "LastUpdateDate": "10/03/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WEBER",
    "AuthorizedOfficialFirstName": "JAMES",
    "AuthorizedOfficialMiddleName": "J",
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "214-424-2213",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207RG0100X",
        "TaxonomyName": "Gastroenterology Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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