| NPI | 1245296490 |
|---|---|
| Former Legal Business Name | GASTON GENERAL AND VASCULAR SURGERY |
| Entity Type | Organization |
| Authorized Contact | ANDREW IRA LIGHT President 704-864-8377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2020-08-22 |