Gaston, Melvin L

Gaston, Melvin L is an individual health care provider with primary practice located at 3714 Guardian Ave Suite E, Morehead City NC 28557-2974. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Gaston, Melvin L can be contacted via phone (252) 222-5862.

Contact Information

Primary practice address
3714 Guardian Ave Suite E Morehead City NC 28557-2974
Phone: (252) 222-5862
Fax: (252) 247-9469
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 10025 North Carolina

Profile Details

NPI number 1902877277
LBN Legal business name Gaston, Melvin L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Sep 10th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902877277 NPPES
Florida MEDICAID 292212600

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