| Gastonia Wellness & Long Term Care Pa | |
|
1021 X Ray Dr Ste B Gastonia NC 28054-7489 | |
| (704) 215-5444 | |
| (704) 215-5466 |
| Full Name | Gastonia Wellness & Long Term Care Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1021 X Ray Dr Ste B, Gastonia, North Carolina |
| Authorized Official Name and Position | James E. Needell (PHYSICIAN/OWNER) |
| Authorized Official Contact | 7042155444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastonia Wellness & Long Term Care Pa 1021 X Ray Dr Ste B Gastonia NC 28054-7489 Ph: (704) 215-5444 | Gastonia Wellness & Long Term Care Pa 1021 X Ray Dr Ste B Gastonia NC 28054-7489 Ph: (704) 215-5444 |
| NPI Number | 1093230336 |
|---|---|
| Provider Enumeration Date | 08/08/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 9335414994 |
|---|---|
| Medicare Enrollment ID | O20171006001574 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093230336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | James E Needell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417988825 PECOS PAC ID: 7810908571 Enrollment ID: I20100209000728 |
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