Provider Demographics
NPI:1164484838
Name:CAROLINA GI ASSOCIATES, PC
Entity Type:Organization
Organization Name:CAROLINA GI ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:DUBINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:252-430-8111
Mailing Address - Street 1:120 CHARLES D ROLLINS RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27536-2882
Mailing Address - Country:US
Mailing Address - Phone:252-430-8111
Mailing Address - Fax:252-430-1804
Practice Address - Street 1:120 CHARLES D ROLLINS RD
Practice Address - Street 2:SUITE 201
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27536-2882
Practice Address - Country:US
Practice Address - Phone:252-430-8111
Practice Address - Fax:252-430-1804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8929224Medicaid
NC2171300AMedicare ID - Type Unspecified