Gastonia Physician Services, Pllc
NPI #1023416708 in Mount Holly, North Carolina
Provider Information
- NPI Number
- 1023416708
- Entity Type
- Organization
- Organization Name
- Gastonia Physician Services, Pllc
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Dec 12, 2014
- Last Updated
- Jan 30, 2020
Practice Location
- Address
- 451 EAST CHARLOTTE AVENUE
- City
- Mount Holly
- State
- North Carolina
- ZIP Code
- 28120-2211
- Phone
- (980) 834-2266
Authorized Official
- Name
- KIM H LARSEN
- Title
- DIRECTOR OF CREDENTIALING
- Phone
- (770) 874-5468
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine |
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