Gaston Digestive Disease Clinic, P.a.

NPI #1962629493 in Gastonia, North Carolina

Provider Information

NPI Number: 1962629493
Entity Type: Organization
Organization Name: Gaston Digestive Disease Clinic, P.a.
Primary Specialty: Specialist
Enumeration Date: Apr 19, 2007
Last Updated: Apr 17, 2008

Practice Location

Address: 2550 COURT DR STE 201
City: Gastonia
State: North Carolina
ZIP Code: 28054-2152
Phone: (704) 867-3585

Authorized Official

Name: DR. SAMUEL THOMAS DRAKE I, M.D.
Title: PRESIDENT
Phone: (704) 867-3585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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