Organization
GASTON FAMILY DOCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE E WILKINSON MD (PRESIDENT)
(704) 853-3627
Entity
Organization
Contact information
Practice address
2290 REMOUNT RD, GASTONIA, NC 28054-4725
(704) 853-3627
Mailing address
2290 REMOUNT RD, GASTONIA, NC 28054-4725
(704) 853-3627
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89-0162M
—
NC
Enumeration date
05/02/2007
Last updated
08/22/2020
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