Appointments: 704.377.0246     General: 704.377.4009
Referring MDs MyChart Online Payment Center

Easy Access GI Referral Form

CHARLOTTE GASTROENTEROLOGY & HEPATOLOGY

Thank you for choosing Charlotte Gastroenterology and Hepatology as your GI referral of choice. In keeping with our commitment of excellence in customer service, we developed this “Easy Access GI” form to provide easier access to our appointment schedule. Simply complete the information below and fax this form back to the number provided. We have a fax line dedicated only to receiving these appointment referrals:

EASY ACCESS GI
FAX LINE: (704) 602-6576

You have a choice, by fax or phone, in how you receive the information regarding the appointment. We will also call the patient direct, if you so choose. If referring to a particular physician within our practice, be sure to include his/her name and location choice. Please have your Medical Records Dept. fax records as soon as possible prior to the scheduled appointment to 704-375-6970. Our appointment coordinators are available to assist you with any of your appointment needs. Again, thank you for choosing Charlotte Gastroenterology and Hepatology!

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  • Additional Information

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  • Medical Offices

  • Charlotte Office
    2015 Randolph Rd., Ste. 208
    Charlotte, NC 28207
    David G. Scholz, MD
    Gardiner Roddey, MD
    Simon S. Prendiville, MD
    Sanjib P. Mohanty, MD
    Jason A. Wilson, MD, AGAF, FACG
    Atul Khanna, MD
    Rebecca E. Rawl, MD, MPH

    Matthews Office
    1340 Matthews Township Pkwy.,
    Ste. 301
    Matthews, NC 28105
    Sam R. Fulp, MD
    Jeffrey S. Zaidman, MD
    Srinivas Cheruvu, MD, MSPH
    Viral D. Patel, MD


    Ballantyne Office
    Ballantyne Medical Two Building
    15830 Ballantyne Medical Pl., Ste. 175
    Charlotte, NC 28277
    James L. Toussaint, MD
    Dennis D. Kokenes, MD
    Robert J. Schmitz, MD
    Ashish D. Thekdi, MD

    Huntersville
    The Park
    13808 Professional Center Drive
    Huntersville, NC 28078
    Steven A. Josephson, MD
    Scott A. Brotze, MD
    Devi Thangavelu, MD
    Vinaya C. Maddukuri, MD
    Nicholas R. Crews, MD

    Mooresville
    115 Commerce Pointe Blvd.
    Mooresville, NC 28117
    John H. Moore, III, MD
    Steven A. Josephson, MD
    Scott A. Brotze, MD
    Michael W. Ryan, MD
    Devi Thangavelu, MD
    Vinaya C. Maddukuri, MD
    Nicholas R. Crews, MD