Organization
CAROLINA SURGERY PA
Active
Other names
Gaston General and Vascular Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW IRA LIGHT MD (PRESIDENT)
(704) 864-8377
Entity
Organization
Contact information
Practice address
1089 X RAY DR, GASTONIA, NC 28054-7489
(704) 864-8377
(704) 864-4442
Mailing address
1089 X RAY DR, GASTONIA, NC 28054-7489
(704) 864-8377
(704) 864-4442
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
04/25/2006
Last updated
08/22/2020
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