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Individual

EDWIN C BARTINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2525 COURT DRIVE, GASTONIA, NC 28054
(704) 834-2000
Mailing address
PO BOX 12845, GASTONIA, NC 28052
(704) 834-2825
(704) 866-7853

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
32624
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8913613
NC
05
N32624
SC
Enumeration date
06/12/2006
Last updated
07/08/2007
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