Gaston Lincoln Cleveland Mhddsa Program

Specialty details in registry · Gastonia, NC

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At a glance

901 S New Hope Rd, Gastonia, NC 28054-5829

NPPES record updated Nov 23, 2010. Public records can lag behind changes at a practice.

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Practice location

901 S New Hope Rd
Gastonia, NC 28054-5829
Professional details: NPI, taxonomy & registry record
NPI1790801926
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251K00000X
Enumeration date
Mar 21, 2007
Record updated
Nov 23, 2010
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

251K00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

901 S New Hope Rd
Gastonia, NC 28054-5829
Phone
(704) 884-2501
Fax
(704) 854-4203
Mailing address
901 S NEW HOPE RD

GASTONIA, NC 280545829
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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