# NORTHWEST MEDICAL PARTNERS, P.A.

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

## Provider details

- **NPI number:** 1477526861
- **Authorized official:** DONALD N. GARDNER M.D. (PRESIDENT)
- **Authorized official phone:** (336) 786-4133

## Contact information

- **Practice address:** 280 NORTH POINTE BLVD., MT. AIRY, NC 27030-2267
- **Practice address phone:** (336) 786-4133
- **Practice address fax:** (336) 786-4338
- **Mailing address:** 280 NORTH POINTE BLVD., MT. AIRY, NC 27030-2267
- **Mailing address phone:** (336) 786-4133
- **Mailing address fax:** (336) 786-4338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | L000989 | NC | — |
| 207Q00000X | Family Medicine Physician | 30025 | NC | Yes |

## Other

- **Enumeration date:** 02/08/2006
- **Last updated:** 02/10/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 011NM | BLUE CROSS BLUE SHIELD OF NC | NC |
| 05 | — | 8901HN | — | NC |