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Organization
NEW HOPE MEDICAL CLINIC, PC
Active
Organization
NEW HOPE MEDICAL CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KONRAD HELMUT KAEDING (MANAGER)
(302) 518-3022
Entity
Organization
Contact information
Practice address
3670 S NEW HOPE RD STE 1, GASTONIA, NC 28056
(704) 824-4560
(704) 824-4560
Mailing address
3670 S NEW HOPE RD STE 1, GASTONIA, NC 28056-8597
(704) 709-3239
(704) 478-8194
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17583
NC
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
NULL
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
9300173
NC
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
NULL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
208VP0000X
Pain Medicine Physician
—
NULL
208VP0000X
Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679700843
—
NC
Enumeration date
06/16/2009
Last updated
10/02/2018
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