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1104644004
GASTONIA PHYSICIAN SERVICES, PLLC
BELMONT, NC
NPI
1104644004
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Entity Type
Organization
Authorized Contact
KIM H LARSEN
VP, Credentialing
770-874-5400
Organization Subpart ?
No
Primary Taxonomy
207P00000X Emergency Medicine
Enumeration Date
2024-09-30
Last Update Date
2024-09-30
Business Address
GASTONIA PHYSICIAN SERVICES, PLLC
1000 CAROMONT PKWY
BELMONT, NC 28012-0140
Phone number: 704-834-2000
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Mailing Address
GASTONIA PHYSICIAN SERVICES, PLLC
5665 NEW NORTHSIDE DR STE 320
ATLANTA, GA 30328-5834
Phone number: 770-874-5400
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