Organization
GASTON HOME MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN THARP (PRESIDENT)
(704) 865-6551
Entity
Organization
Contact information
Practice address
2620 COURT DR, GASTONIA, NC 28054-1449
(704) 865-6551
(704) 865-6552
Mailing address
2620 COURT DR, GASTONIA, NC 28054-1449
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
01119
NC
Other
Enumeration date
01/18/2007
Last updated
08/22/2020
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