Internal Medicine Associates Of Gastonia Pa | |
2391 Court Dr Ste 110 Gastonia NC 28054-2197 | |
(704) 853-3330 | |
(704) 853-8951 |
Full Name | Internal Medicine Associates Of Gastonia Pa |
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Speciality | Internal Medicine |
Location | 2391 Court Dr Ste 110, Gastonia, North Carolina |
Authorized Official Name and Position | Jaime Villarreal (PRESIDENT) |
Authorized Official Contact | 7048533330 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Internal Medicine Associates Of Gastonia Pa 2391 Court Dr Ste 110 Gastonia NC 28054-2197 Ph: (704) 853-3330 | Internal Medicine Associates Of Gastonia Pa 2391 Court Dr Ste 110 Gastonia NC 28054-2197 Ph: (704) 853-3330 |
NPI Number | 1528190410 |
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Provider Enumeration Date | 03/09/2007 |
Last Update Date | 06/23/2013 |
Medicare PECOS PAC ID | 3274427257 |
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Medicare Enrollment ID | O20040211000058 |
Identifier | Type | State | Issuer |
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1528190410 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 9800159 (North Carolina) | Primary |
Provider Name | Jaime Villarreal |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376674028 PECOS PAC ID: 4981598968 Enrollment ID: I20040211000097 |
Provider Name | Kelly L Shedd |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104836048 PECOS PAC ID: 5193768109 Enrollment ID: I20130823000830 |
Provider Name | Krystal M Gessert-herring |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316403561 PECOS PAC ID: 9638410004 Enrollment ID: I20190411002271 |
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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 | |
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