NPI 1073034625

Centerwell Senior Primary Care (nc) PC

Organisation Internal Medicine Physician Gastonia, NC

Practice location

Address: 2910 E Franklin Blvd, 1, Gastonia, NC 28056-7725
Phone: (704) 648-0460
Fax: (855) 446-7146
Mailing address: 6101 Blue Lagoon Dr STE 200, Miami, FL 33126-3168

Authorised official

Name: Angie Martinez
Title: Senior Credentialing Professional
Phone: (407) 447-7120

Registered specialties (4)

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in North Carolina →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in North Carolina →

General Practice Physician

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in North Carolina →

Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in North Carolina →

Registry record

NPI: 1073034625
Entity type: Organization
NPI issued: 5 Jul 2017
Record last updated: 3 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.