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1316367691
GASTONIA PHYSICIAN SERVICES, PLLC
GASTONIA, NC
NPI
1316367691
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Entity Type
Organization
Authorized Contact
KIM H LARSEN
Director Of Credentialing
770-874-5468
Organization Subpart ?
No
Primary Taxonomy
207P00000X Emergency Medicine
Enumeration Date
2014-04-24
Last Update Date
2020-01-30
Business Address
GASTONIA PHYSICIAN SERVICES, PLLC
2525 COURT DR
GASTONIA, NC 28054-2140
Phone number: 704-834-2000
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Mailing Address
GASTONIA PHYSICIAN SERVICES, PLLC
PO BOX 21107
BELFAST, ME 04915-4108
Phone number: 770-874-5400
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