Organization
GASTON FAMILY CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY SCOTT SCHENK SR. MD (OWNER)
(704) 861-2273
Entity
Organization
Contact information
Practice address
1381 E GARRISON BLVD, GASTONIA, NC 28054-5127
(704) 861-2273
(704) 864-6336
Mailing address
1381 E GARRISON BLVD, GASTONIA, NC 28054-5127
(704) 861-2273
(704) 864-6336
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
34155
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
897479B
—
NC
Enumeration date
02/24/2010
Last updated
11/02/2010
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