| Gaston Primary Care Pllc | |
|
760 N New Hope Rd Suite B Gastonia NC 28054-4037 | |
| (704) 864-5969 | |
| (704) 864-5584 |
| Full Name | Gaston Primary Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 760 N New Hope Rd, Gastonia, North Carolina |
| Authorized Official Name and Position | Azemobo Charles Akhimien (PRESIDENT) |
| Authorized Official Contact | 7048645969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaston Primary Care Pllc Po Box 550802 Gastonia NC 28055-0802 Ph: (704) 864-5969 | Gaston Primary Care Pllc 760 N New Hope Rd Suite B Gastonia NC 28054-4037 Ph: (704) 864-5969 |
| NPI Number | 1366409484 |
|---|---|
| Provider Enumeration Date | 05/01/2006 |
| Last Update Date | 07/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366409484 | NPI | - | NPPES |
| 891255W | Medicaid | NC |
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