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2290 Remount Rd Gastonia NC 28054-4725 | |
| (704) 853-3627 | |
| (704) 853-3500 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 2290 Remount Rd, Gastonia, North Carolina |
| Authorized Official Name and Position | Dinesh S. Pai (VP OF OPERATIONS) |
| Authorized Official Contact | 7043849104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2290 Remount Rd Gastonia NC 28054-4725 Ph: (704) 853-3627 | 2290 Remount Rd Gastonia NC 28054-4725 Ph: (704) 853-3627 |
| NPI Number | 1699964809 |
|---|---|
| Provider Enumeration Date | 10/24/2007 |
| Last Update Date | 06/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699964809 | NPI | - | NPPES |
| 019R8 | Other | NC | BCBS OF NC |
| 5908354 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
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