Mahmoud A Issa
JACKSONVILLE DIGESTIVE DISEASES CLINIC PA


Address: 224 Memorial Dr, Jacksonville, NC 28546-6332
Phone: 9105771444

Mahmoud A Issa (NPI# 1295732121, PAC ID# 0547397978) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.

Physician Overview

Nation Provider ID (NPI) 1295732121
PAC ID by PECOS 0547397978
Professional Enrollment ID I20100419000642
Full Name Mahmoud A Issa
Organization Legal Name JACKSONVILLE DIGESTIVE DISEASES CLINIC PA
Address 224 Memorial Dr
Jacksonville
NC 28546-6332
Phone Number 9105771444
Gender M
Graduation Year 1971
Primary Specialty GASTROENTEROLOGY
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 4688701006
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
340042 ONSLOW MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
224 Memorial Dr, Jacksonville, NC 28546-6332 9105771444 JACKSONVILLE DIGESTIVE DISEASES CLINIC PA
224 Memorial Dr, Suite A, Jacksonville, NC 28546-6332 9105771444 JACKSONVILLE DIGESTIVE DISEASES CLINIC PA

Organization Information

Organization Legal Name JACKSONVILLE DIGESTIVE DISEASES CLINIC PA
Physicians 1

Office Location

Street Address 224 MEMORIAL DR
City JACKSONVILLE
State NC
Zip 28546-6332

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Competitor

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City JACKSONVILLE
Zip Code 28546
Specialty GASTROENTEROLOGY
City + Specialty JACKSONVILLE + GASTROENTEROLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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