Organization
GASTON COUNTY DHHS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY QUEEN (BUSINESS SERVICES COORDINATOR)
(704) 862-7984
Entity
Organization
Contact information
Practice address
330 DR MARTIN LUTHER KING JR WAY, GASTONIA, NC 28052-2332
(704) 862-7500
Mailing address
330 DR MARTIN LUTHER KING JR WAY, GASTONIA, NC 28052-2332
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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