Marietta Medical Clinic, PA

NPI #1912142167 in Gastonia, North Carolina

Provider Information

NPI Number
1912142167
Entity Type
Organization
Organization Name
Marietta Medical Clinic, PA
Primary Specialty
Specialist
Enumeration Date
Dec 2, 2008
Last Updated
Mar 12, 2009

Practice Location

Address
401 S MARIETTA ST
ZIP Code
28052-4331
Phone
(704) 866-8030

Authorized Official

Name
DR. IFEANYI O OKAFOR, MD
Title
PRESIDENT
Phone
(704) 866-8030

Specialties & Taxonomy Codes

Specialty
Specialist

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