Organization
FUNCTIONAL MEDICINE 1 PLLC
Active
Organization
FUNCTIONAL MEDICINE 1 PLLC
Active
Other names
Advanced Urgent Care & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AUSTIN DALE GATES PHYSICIAN ASSISTANT (OWNER)
(704) 214-0935
Entity
Organization
Contact information
Practice address
111 DAVE WARLICK DR, LINCOLNTON, NC 28092-4411
(704) 240-8133
(866) 493-3890
Mailing address
111 DAVE WARLICK DR, LINCOLNTON, NC 28092-4411
(704) 214-0935
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
—
—
Other
Enumeration date
01/26/2024
Last updated
03/21/2024
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