| Adult Primary And Preventive Medicine | |
|
1040 X Ray Dr Suite B Gastonia NC 28054-5438 | |
| (704) 884-0064 | |
| (704) 884-0074 |
| Full Name | Adult Primary And Preventive Medicine |
|---|---|
| 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 |
|---|---|
| Adult Primary And Preventive Medicine 1040 X Ray Dr Ste B Gastonia NC 28054-7488 Ph: (704) 884-0064 | Adult Primary And Preventive Medicine 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 |
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