John E. Gaston MD DBA
NPI #1306965389 in Fayetteville, North Carolina
Provider Information
- NPI Number
- 1306965389
- Entity Type
- Organization
- Organization Name
- John E. Gaston MD DBA
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Mar 28, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2312B MURCHISON RD
- City
- Fayetteville
- State
- North Carolina
- ZIP Code
- 28301-3518
- Phone
- (910) 488-6331
Authorized Official
- Name
- DR. JOHNNY EUGENE GASTON, M.D.
- Title
- DBA
- Phone
- (910) 488-6331
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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