# NEW HOPE MEDICAL CLINIC, PC

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

## Provider details

- **NPI number:** 1679700843
- **Authorized official:** KONRAD HELMUT KAEDING (MANAGER)
- **Authorized official phone:** (302) 518-3022

## Contact information

- **Practice address:** 3670 S NEW HOPE RD STE 1, GASTONIA, NC 28056
- **Practice address phone:** (704) 824-4560
- **Practice address fax:** (704) 824-4560
- **Mailing address:** 3670 S NEW HOPE RD STE 1, GASTONIA, NC 28056-8597
- **Mailing address phone:** (704) 709-3239
- **Mailing address fax:** (704) 478-8194

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 17583 | NC | Yes |
| 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

- **Enumeration date:** 06/16/2009
- **Last updated:** 10/02/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1679700843 | — | NC |