Organization
GASTONIA SURGICAL ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE P THOMAS (ADMINISTRATOR)
(704) 864-7821
Entity
Organization
Contact information
Practice address
2544 COURT DR, SUITE G, GASTONIA, NC 28054-3450
(704) 864-7821
(704) 865-0519
Mailing address
2544 COURT DR, SUITE G, GASTONIA, NC 28054-3450
(704) 864-7821
(704) 865-0519
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8901622
—
NC
Enumeration date
07/16/2006
Last updated
08/22/2020
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