Organization
GASTON UROLOGICAL ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE RUFFINO CHO RHIT (BUSINESS OFFICE COORDINATOR)
(704) 864-7764
Entity
Organization
Contact information
Practice address
631 COX RD, GASTONIA, NC 28054-3438
(704) 864-7764
(704) 867-7894
Mailing address
631 COX RD, GASTONIA, NC 28054-3438
(704) 864-7764
(704) 867-7894
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01614
GROUP # BCBS
—
05
—
8901614
—
NC
Enumeration date
05/28/2006
Last updated
06/17/2011
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