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NPI Code Detail

MEDICARE: PREMIER GASTROENTEROLOGY, PA

MEDICARE: PREMIER GASTROENTEROLOGY, 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
1174400000XSpecialistNC

General Provider Information

NPI Number : 1952306599
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREMIER GASTROENTEROLOGY, PA
Provider Business Mailing Address
First Line : 1880 QUIET CV
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-3857
Country : US
Telephone Number : 910-323-2477
Fax Number : 910-323-5931
Provider Business Practice Location Address
First Line : 1880 QUIET CV
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-3857
Country : US
Telephone Number : 910-323-2477
Fax Number : 910-323-5931
Authorized Official
Title or Position : PRESIDENT
Name : DR. SANJEEV SLEHERIA
Credential : MD
Telephone Number : 910-323-2477
Provider Enumeration Date : 06/20/2005
Last Update Date : 07/20/2022

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Directions to “PREMIER GASTROENTEROLOGY, PA ” Practice Location

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