# GASTON MEDICAL PARTNERS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427699289
- **Authorized official:** BRIAN WYSONG (AUTHORIZED)
- **Authorized official phone:** (704) 689-5706

## Contact information

- **Practice address:** 924 COX RD, GASTONIA, NC 28054-3456
- **Practice address phone:** (704) 800-4268
- **Mailing address:** 924 COX RD, GASTONIA, NC 28054-3456

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2019
- **Last updated:** 10/04/2019