Provider Demographics
NPI:1528625399
Name:ROWAN ENDOSCOPY CENTER, PLLC
Entity type:Organization
Organization Name:ROWAN ENDOSCOPY CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:E
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-216-7071
Mailing Address - Street 1:1809 BRENNER AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-2567
Mailing Address - Country:US
Mailing Address - Phone:704-216-7051
Mailing Address - Fax:704-647-0515
Practice Address - Street 1:1809 BRENNER AVE STE 102
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-2567
Practice Address - Country:US
Practice Address - Phone:704-216-7051
Practice Address - Fax:704-647-0515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-28
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory SurgicalGroup - Single Specialty