| Union Medical Clinic, Pc | |
|
1574 Union Rd Suite A Gastonia NC 28054-5633 | |
| (704) 866-4607 | |
| (704) 866-5292 |
| Full Name | Union Medical Clinic, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1574 Union Rd, Gastonia, North Carolina |
| Authorized Official Name and Position | Donatus Ogu (OWNER) |
| Authorized Official Contact | 7048664607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Union Medical Clinic, Pc 1574 Union Rd Suite A Gastonia NC 28054-5633 Ph: (704) 866-4607 | Union Medical Clinic, Pc 1574 Union Rd Suite A Gastonia NC 28054-5633 Ph: (704) 866-4607 |
| NPI Number | 1891956819 |
|---|---|
| Provider Enumeration Date | 06/23/2008 |
| Last Update Date | 09/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891956819 | NPI | - | NPPES |
| 02334 | Other | NC | BLUE CROSS BLUE SHIELD |
| 8910826 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 9300555 (North Carolina) | Primary |
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