NPI 1316367691
Gastonia Physician Services, PLLC
Practice location
- Address
- 2525 Court Dr, Gastonia, NC 28054-2140
- Phone
- (704) 834-2000
- Fax
- (770) 874-5483
- Mailing address
- PO Box 21107, Belfast, ME 04915-4108
Authorised official
- Name
- Kim H Larsen
- Title
- Director of Credentialing
- Phone
- (770) 874-5468
Registered specialties
Emergency Medicine Physician
Primary
Registry record
- NPI
- 1316367691
- Entity type
- Organization
- NPI issued
- 24 Apr 2014
- Record last updated
- 30 Jan 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.