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Organization
NORTHWEST MEDICAL PARTNERS, P.A.
Active
Organization
NORTHWEST MEDICAL PARTNERS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD N. GARDNER M.D. (PRESIDENT)
(336) 786-4133
Entity
Organization
Contact information
Practice address
280 NORTH POINTE BLVD., MT. AIRY, NC 27030-2267
(336) 786-4133
(336) 786-4338
Mailing address
280 NORTH POINTE BLVD., MT. AIRY, NC 27030-2267
(336) 786-4133
(336) 786-4338
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
L000989
NC
207Q00000X
Family Medicine Physician
Primary
30025
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011NM
BLUE CROSS BLUE SHIELD OF NC
NC
05
—
8901HN
—
NC
Enumeration date
02/08/2006
Last updated
02/10/2010
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