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Organization
GASTONIA PHYSICIAN SERVICES, PLLC
Active
Organization
GASTONIA PHYSICIAN SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM H LARSEN (VP, CREDENTIALING)
(770) 874-5400
Entity
Organization
Contact information
Practice address
1000 CAROMONT PKWY, BELMONT, NC 28012-0140
(704) 834-2000
Mailing address
PO BOX 21107, BELFAST, ME 04915-4108
(770) 874-5400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
08/14/2026
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