Kintegra Adult & Pediatric Medicine - Xray Dr | |
2721 X Ray Dr Gastonia NC 28054-7491 | |
(704) 874-2255 | |
(704) 852-4092 |
Full Name | Kintegra Adult & Pediatric Medicine - Xray Dr |
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Speciality | Clinic/Center |
Location | 2721 X Ray Dr, Gastonia, North Carolina |
Authorized Official Name and Position | Sharmila Alexander Anderson (BUSINESS SERVICES ADMINISTRATOR) |
Authorized Official Contact | 7048741907 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kintegra Adult & Pediatric Medicine - Xray Dr 200 E 2nd Ave Gastonia NC 28052-4358 Ph: (704) 874-1904 | Kintegra Adult & Pediatric Medicine - Xray Dr 2721 X Ray Dr Gastonia NC 28054-7491 Ph: (704) 874-2255 |
NPI Number | 1477079283 |
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Provider Enumeration Date | 08/15/2017 |
Last Update Date | 01/15/2020 |
Medicare PECOS PAC ID | 5496733925 |
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Medicare Enrollment ID | O20170926001002 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477079283 | NPI | - | NPPES |
1477079283 | Medicaid | NC | |
2171517 | Other | PK |
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