NPI 1306965389

John E. Gaston MD Dba

Organisation Health Maintenance Organization Fayetteville, NC

Practice location

Address: 2312b Murchison Rd, Fayetteville, NC 28301-3518
Phone: (910) 488-6331
Fax: (910) 488-5351

Authorised official

Name: Johnny Eugene Gaston
Title: Dba
Phone: (910) 488-6331

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 22112 (NC)

Other Health Maintenance Organization providers in North Carolina →

Registry record

NPI: 1306965389
Entity type: Organization
NPI issued: 28 Mar 2007
Record last updated: 22 Aug 2020

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.