OrganizationActive
Charlotte Gastroenterology & Hepatology, PLLC
NPI 1619124401 · Ambulatory Surgical Clinic/Center · Charlotte, NC
Provider details
- NPI number
- 1619124401
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Hicks, Chief Executive Offi(704) 377-4009
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
11430 Red Rust Ln Ste 101
Charlotte, NC 28277-4948
Phone: (704) 377-4009
Approximate (ZIP-level) locationGet directions
Mailing address
13808 Professional Center Dr
Huntersville, NC 28078-7948
Registry dates
- Enumerated
- 2008-08-22
- Last updated
- 2026-02-24
- Certified
- 2026-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.