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Organization

GASTONIA PHYSICIAN SERVICES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHRISTOPHER BRIAN DURHAM (PRESIDENT)
(770) 874-5400
Entity
Organization

Contact information

Practice address
420 N CENTER ST, HICKORY, NC 28601-5033
(828) 315-5000
Mailing address
5665 NEW NORTHSIDE DR, SUITE 320, ATLANTA, GA 30328-5831
(770) 874-5400

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
05/11/2017
Last updated
05/11/2017
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