NPI 1164284964

Functional Medicine 1 PLLC

Organisation Integrative Medicine Physician Lincolnton, NC

Practice location

Address: 111 Dave Warlick Dr, Lincolnton, NC 28092-4411
Phone: (704) 240-8133
Fax: (866) 493-3890

Authorised official

Name: Austin Dale Gates
Title: Owner
Phone: (704) 214-0935

Registered specialties

Integrative Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202D00000X

Other Integrative Medicine providers in North Carolina →

Registry record

NPI: 1164284964
Entity type: Organization
NPI issued: 26 Jan 2024
Record last updated: 21 Mar 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.