Individual
MELVIN L GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3714 GUARDIAN AVE, SUITE E, MOREHEAD CITY, NC 28557-2974
(252) 222-5862
(252) 247-9469
Mailing address
3714 GUARDIAN AVE, SUITE E, MOREHEAD CITY, NC 28557-2974
(252) 222-5862
(252) 247-9469
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10025
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292212600
—
FL
Enumeration date
01/27/2006
Last updated
09/10/2015
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