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1346889292
PARK GASTROENTEROLOGY, PLLC
CARY, NC
NPI
1346889292
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Entity Type
Organization
Authorized Contact
VALLISITARAM PRASAD KODALI
Owner
919-650-6461
Organization Subpart ?
No
Primary Taxonomy
207RG0100X Internal Medicine Gastroenterology
Enumeration Date
2019-12-24
Last Update Date
2019-12-24
Business Address
PARK GASTROENTEROLOGY, PLLC
7560 CARPENTER FIRE STATION RD STE 303
CARY, NC 27519-9637
Phone number: 919-650-6461
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Mailing Address
PARK GASTROENTEROLOGY, PLLC
7560 CARPENTER FIRE STATION RD STE 303
CARY, NC 27519-9637
Phone number: 919-650-6461
Copy
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