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1875 Remount Rd Gastonia NC 28054-7413 | |
| (855) 327-7852 | |
| (704) 865-4785 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1875 Remount Rd, Gastonia, North Carolina |
| Authorized Official Name and Position | Sharmila Anderson (BUSINESS SERVICES ADMINISTRATOR) |
| Authorized Official Contact | 7048741907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
200 E Second Ave Gastonia NC 28052-4358 Ph: (704) 874-1907 | 1875 Remount Rd Gastonia NC 28054-7413 Ph: (855) 327-7852 |
| NPI Number | 1205251766 |
|---|---|
| Provider Enumeration Date | 02/20/2014 |
| Last Update Date | 04/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205251766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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