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885 Summit Crossing Pl Gastonia NC 28054-2193 | |
| (704) 316-4979 | |
| (704) 316-4978 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 885 Summit Crossing Pl, Gastonia, North Carolina |
| Authorized Official Name and Position | Leea Jeanine Walton (EDI MANAGER) |
| Authorized Official Contact | 7043166081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 60447 Charlotte NC 28260-0447 Ph: (704) 384-7840 | 885 Summit Crossing Pl Gastonia NC 28054-2193 Ph: (704) 316-4979 |
| NPI Number | 1760712038 |
|---|---|
| Provider Enumeration Date | 01/08/2010 |
| Last Update Date | 07/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760712038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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