Gastonia Medical Specialty Clinic Pa | |
1021 X Ray Dr Gastonia NC 28054-7489 | |
(704) 867-2341 | |
(704) 867-9019 |
Full Name | Gastonia Medical Specialty Clinic Pa |
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Speciality | Internal Medicine |
Location | 1021 X Ray Dr, Gastonia, North Carolina |
Authorized Official Name and Position | Mikell J Jarratt (CORPORATE OFFICER - PRESIDENT) |
Authorized Official Contact | 7048672341 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gastonia Medical Specialty Clinic Pa 1021 X Ray Dr Gastonia NC 28054-7489 Ph: (704) 867-2341 | Gastonia Medical Specialty Clinic Pa 1021 X Ray Dr Gastonia NC 28054-7489 Ph: (704) 867-2341 |
NPI Number | 1023048279 |
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Provider Enumeration Date | 07/04/2006 |
Last Update Date | 10/08/2014 |
Medicare PECOS PAC ID | 2961400197 |
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Medicare Enrollment ID | O20061121000682 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023048279 | NPI | - | NPPES |
01627 | Other | NC | BCBSNC GROUP PROVIDER # |
NPA701 | Medicaid | SC | |
CC5252 | Other | NC | RAILROAD MEDICARE |
5920537 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Janet W Kelchner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265429864 PECOS PAC ID: 6800791195 Enrollment ID: I20031201000195 |
Provider Name | Azemobo Charles Akhimien |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992760581 PECOS PAC ID: 5799703104 Enrollment ID: I20051108000066 |
Provider Name | Anup Banerjee |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1740213263 PECOS PAC ID: 8628073376 Enrollment ID: I20061002000326 |
Provider Name | Mikell Jarratt |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1497785604 PECOS PAC ID: 3678529963 Enrollment ID: I20091008000492 |
Provider Name | April Mahrle-henson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538504451 PECOS PAC ID: 7315185261 Enrollment ID: I20130604000782 |
Provider Name | Emily Barker Stallard |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205232337 PECOS PAC ID: 3779850334 Enrollment ID: I20170602000073 |
Provider Name | Rebecca Lee Shavers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841786316 PECOS PAC ID: 7810245487 Enrollment ID: I20180731000133 |
Provider Name | Megan W Self |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538624317 PECOS PAC ID: 4880935675 Enrollment ID: I20190403003224 |
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 | |
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 | |
Centerwell Senior Primary Care-gastonia Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2910 E Franklin Blvd, 1, Gastonia, NC 28056 Phone: 704-648-0460 Fax: 855-446-7146 | |
Cramerton Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1343 E Garrison Blvd, Ste A, Gastonia, NC 28054 Phone: 704-861-9117 Fax: 704-861-0142 | |
Whitestone Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 527 S New Hope Rd, Gastonia, NC 28054 Phone: 704-316-4979 Fax: 704-316-4978 |