| New Hope Medical Clinic, Pc | |
|
3670 S New Hope Rd Ste 1 Gastonia NC 28056 | |
| (704) 824-4560 | |
| (704) 824-4560 |
| Full Name | New Hope Medical Clinic, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3670 S New Hope Rd Ste 1, Gastonia, North Carolina |
| Authorized Official Name and Position | Konrad Helmut Kaeding (MANAGER) |
| Authorized Official Contact | 3025183022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Hope Medical Clinic, Pc 3670 S New Hope Rd Ste 1 Gastonia NC 28056-8597 Ph: (704) 709-3239 | New Hope Medical Clinic, Pc 3670 S New Hope Rd Ste 1 Gastonia NC 28056 Ph: (704) 824-4560 |
| NPI Number | 1679700843 |
|---|---|
| Provider Enumeration Date | 06/16/2009 |
| Last Update Date | 10/02/2018 |
| Medicare PECOS PAC ID | 3375687452 |
|---|---|
| Medicare Enrollment ID | O20181230000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679700843 | NPI | - | NPPES |
| 1679700843 | Medicaid | NC |
| Provider Name | Tammy R Pennington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609309152 PECOS PAC ID: 0749553865 Enrollment ID: I20170912000054 |
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