| Carolina Physical Medicine & Rehabilitation, Pc | |
|
1307 Union Rd Suite 105 Gastonia NC 28054-5562 | |
| (704) 869-6699 | |
| (704) 861-1996 |
| Full Name | Carolina Physical Medicine & Rehabilitation, Pc |
|---|---|
| Speciality | General Practice |
| Location | 1307 Union Rd, Gastonia, North Carolina |
| Authorized Official Name and Position | Robert Bruce Wallace (OWNER) |
| Authorized Official Contact | 7048696699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Physical Medicine & Rehabilitation, Pc 1307 Union Rd Suite 105 Gastonia NC 28054-5562 Ph: (704) 869-6699 | Carolina Physical Medicine & Rehabilitation, Pc 1307 Union Rd Suite 105 Gastonia NC 28054-5562 Ph: (704) 869-6699 |
| NPI Number | 1588755946 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 07/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588755946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 23802 (North Carolina) | Primary |
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