Provider Demographics
NPI:1598965022
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:DR
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 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 1:1016 COLLEGE ST
Practice Address - Street 2:SUITE 1016
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-2507
Practice Address - Country:US
Practice Address - Phone:919-693-2285
Practice Address - Fax:252-430-1804
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAROLINA GI ASSOCIATES, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8929224Medicaid
NC8929224Medicaid