Organization
GASTON FAMILY PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK REED DO (ADMINISTRATION)
(704) 867-1402
Entity
Organization
Contact information
Practice address
2290 REMOUNT RD, GASTONIA, NC 28054-4725
(704) 867-1402
(888) 720-2814
Mailing address
2290 REMOUNT RD, GASTONIA, NC 28054-4725
(704) 867-1402
(704) 671-2028
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306896147
—
NC
05
—
1629271440
—
NC
05
—
1912930009
—
NC
Enumeration date
11/17/2022
Last updated
11/12/2024
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