Organization
CMG- GASTON WOMEN'S HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALINDA L RUTLEDGE (PRESIDENT,CEO)
(704) 834-2133
Entity
Organization
Contact information
Practice address
2680 ABERDEEN BLVD, SUITE A, GASTONIA, NC 28054-0637
(704) 865-2229
(704) 865-2811
Mailing address
2240 REMOUNT RD, GASTONIA, NC 28054-4725
(704) 671-5311
(704) 671-5308
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5905776
—
NC
Enumeration date
01/08/2007
Last updated
06/09/2010
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