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181 S South St Gastonia NC 28052-4126 | |
| (704) 836-0015 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 181 S South St, Gastonia, North Carolina |
| Authorized Official Name and Position | Thomas F Laymon (SVP) |
| Authorized Official Contact | 7044468250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 602148 Charlotte NC 28260-2148 Ph: (704) 836-0015 | 181 S South St Gastonia NC 28052-4126 Ph: (704) 836-0015 |
| NPI Number | 1578080826 |
|---|---|
| Provider Enumeration Date | 08/28/2017 |
| Last Update Date | 08/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578080826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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