|
| |
|
1040 X Ray Dr Suite B Gastonia NC 28054-5438 | |
| (704) 884-0064 | |
| (704) 884-0074 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 1040 X Ray Dr, Gastonia, North Carolina |
| Authorized Official Name and Position | Randall L Kelley (PRESIDENT/CEO) |
| Authorized Official Contact | 7046715343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1040 X Ray Dr Ste B Gastonia NC 28054-7488 Ph: (704) 884-0064 | 1040 X Ray Dr Suite B Gastonia NC 28054-5438 Ph: (704) 884-0064 |
| NPI Number | 1093005159 |
|---|---|
| Provider Enumeration Date | 04/11/2011 |
| Last Update Date | 08/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093005159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Vance Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3624 Easthampton Dr, Gastonia, NC 28056 Phone: 704-564-1312 Fax: 310-348-0201 | |
Gastonia Medical Specialty Clinic Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1021 X Ray Dr, Gastonia, NC 28054 Phone: 704-867-2341 Fax: 704-867-9019 | |
Shaped Health And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2020 Remount Rd Ste E-105, Gastonia, NC 28054 Phone: 704-931-8286 | |
Gaston Family Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 137 Stowe Rd, Gastonia, NC 28056 Phone: 704-836-9112 Fax: 704-824-4715 | |
Southern Pulmonary Center, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Cox Rd, Ste B, Gastonia, NC 28054 Phone: 704-868-3411 Fax: 704-865-9722 | |