Organization
BAYEN MEDICAL ASSOCIATES, PA
Active
Other names
Cramerton Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN SIDO (BUSINESS MANAGER)
(704) 861-9117
Entity
Organization
Contact information
Practice address
1343 E GARRISON BLVD, STE A, GASTONIA, NC 28054-5137
(704) 861-9117
(704) 861-0142
Mailing address
1343 E GARRISON BLVD, STE A, GASTONIA, NC 28054-5137
(704) 861-9117
(704) 861-0142
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0291G
BLUE CROSS BLUE SHIELD
NC
Enumeration date
06/10/2005
Last updated
07/21/2022
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