Gaston Primary Care Pllc
LBN: Gaston Primary Care Pllc
Gaston Primary Care Pllc is an health care organization with primary practice located at 760 N New Hope Rd Suite B, Gastonia NC 28054-4037. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Gaston Primary Care Pllc can be contacted via phone (704) 864-5969, or through Akhimien, Azemobo Charles via phone (704) 864-5969.
Contact Information
Primary practice address
760 N New Hope Rd Suite B
Gastonia NC 28054-4037
Phone: (704) 864-5969
Fax: (704) 864-5584
Website:
Authorized official contact:
Name: Akhimien, Azemobo Charles Doctor of Medicine (MD)
Phone: (704) 864-5969
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 200000171 | North Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 23016 | South Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 51287 | Georgia |
Profile Details
| NPI number | 1366409484 |
|---|---|
| LBN Legal business name | Gaston Primary Care Pllc |
| DBA Doing business as | |
| Authorized official | Akhimien, Azemobo Charles Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Jul 26th, 2011 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366409484 | NPPES |
| North Carolina | MEDICAID | 891255W |
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