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1124 N Washington St Shelby NC 28150-3862 | |
| (980) 487-1148 | |
| (704) 487-7753 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 1124 N Washington St, Shelby, North Carolina |
| Authorized Official Name and Position | Daniel L. Wiens (SENIOR VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Contact | 7043550648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 601884 Charlotte NC 28260-1884 Ph: (980) 487-1148 | 1124 N Washington St Shelby NC 28150-3862 Ph: (980) 487-1148 |
| NPI Number | 1649345935 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 07/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649345935 | NPI | - | NPPES |
| 5905818 | Medicaid | NC | |
| NPB304 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Gaston Family Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 137 S Post Rd, Shelby, NC 28152 Phone: 704-669-6000 | |
Shelby Medical Associates, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 711 N Dekalb St, Shelby, NC 28150 Phone: 704-482-1482 Fax: 704-480-6012 | |
Gaston Family Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 808 Schenck St, Shelby, NC 28150 Phone: 704-480-9344 | |
Gaston Family Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 S Post Rd, Shelby, NC 28152 Phone: 980-484-5153 | |