BC WALL MEDICAL GROUP PA

GASTONIA, NC
NPI1164610580
Entity TypeOrganization
Authorized ContactBRIAN K WALL
President
704-866-4607
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NC  9701190)
Enumeration Date2007-10-10
Last Update Date2007-10-10
Business Address
BC WALL MEDICAL GROUP PA
1574 UNION ROAD A
GASTONIA, NC 28054-5633
Phone number: 704-866-4607
Mailing Address
BC WALL MEDICAL GROUP PA
557 CAMERON POINTE LN
BELMONT, NC 28012-6702
Phone number: 704-825-2363
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