|
| |
|
1343 E Garrison Blvd Ste A Gastonia NC 28054-5137 | |
| (704) 861-9117 | |
| (704) 861-0142 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 1343 E Garrison Blvd, Gastonia, North Carolina |
| Authorized Official Name and Position | Edwin Sido (BUSINESS MANAGER) |
| Authorized Official Contact | 7048619117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1343 E Garrison Blvd Ste A Gastonia NC 28054-5137 Ph: (704) 861-9117 | 1343 E Garrison Blvd Ste A Gastonia NC 28054-5137 Ph: (704) 861-9117 |
| NPI Number | 1073517652 |
|---|---|
| Provider Enumeration Date | 06/10/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073517652 | NPI | - | NPPES |
| 0291G | Other | NC | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (North Carolina) | 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 | |