MARIETTA MEDICAL CLINIC, PA

GASTONIA, NC
NPI1912142167
Entity TypeOrganization
Authorized ContactIFEANYI O OKAFOR
President
704-866-8030
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: NC  200200150)
Enumeration Date2008-12-02
Last Update Date2009-03-12
Business Address
MARIETTA MEDICAL CLINIC, PA
401 S MARIETTA ST
GASTONIA, NC 28052-4331
Phone number: 704-866-8030
Mailing Address
MARIETTA MEDICAL CLINIC, PA
PO BOX 550457
GASTONIA, NC 28055-0457
Phone number: 704-866-8030
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