Organization
PRACTICE MANAGEMENT RESOURCE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GORDON LEE GEORGE JR. (DIRECTOR OF OPERATIONS)
(704) 222-2803
Entity
Organization
Contact information
Practice address
705 S WELDON ST, GASTONIA, NC 28052-3967
(704) 222-2803
Mailing address
10130 PERIMETER PKWY, CHARLOTTE, NC 28216-2447
(704) 222-2805
(704) 943-0547
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
06/02/2021
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