| NPI | 1952691016 |
|---|---|
| Doing Business As | GASTONIA SURGICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS LUCKETT President, CEO 704-834-2133 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2017-02-03 |