Gaston Family Medicine | |
3845 S. New Hope Rd Gastonia NC 28056-8439 | |
(704) 824-9119 | |
(704) 824-2401 |
Full Name | Gaston Family Medicine |
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Speciality | Family Medicine |
Location | 3845 S. New Hope Rd, Gastonia, North Carolina |
Authorized Official Name and Position | Valinda Rutledge (PRESIDENT, CEO) |
Authorized Official Contact | 7048342133 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gaston Family Medicine 3845 S. New Hope Rd Gastonia NC 28056-8439 Ph: (704) 824-9119 | Gaston Family Medicine 3845 S. New Hope Rd Gastonia NC 28056-8439 Ph: (704) 824-9119 |
NPI Number | 1285940445 |
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Provider Enumeration Date | 08/26/2010 |
Last Update Date | 02/03/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285940445 | NPI | - | NPPES |
5915261 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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