| Gaston Medical Associates, Pa | |
|
2664 Court Drive Suite A Gastonia NC 28054-1449 | |
| (704) 861-9030 | |
| (704) 833-1234 |
| Full Name | Gaston Medical Associates, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2664 Court Drive, Gastonia, North Carolina |
| Authorized Official Name and Position | Olufolarin Akanfe Ajao (CO-PRESIDENT) |
| Authorized Official Contact | 7048619030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaston Medical Associates, Pa 2664 Court Drive Suite A Gastonia NC 28054-1449 Ph: (704) 861-9030 | Gaston Medical Associates, Pa 2664 Court Drive Suite A Gastonia NC 28054-1449 Ph: (704) 861-9030 |
| NPI Number | 1366433773 |
|---|---|
| Provider Enumeration Date | 11/03/2005 |
| Last Update Date | 07/31/2013 |
| Medicare PECOS PAC ID | 0244381945 |
|---|---|
| Medicare Enrollment ID | O20090618000777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366433773 | NPI | - | NPPES |
| 89011FH | Medicaid | NC |
| Provider Name | Debra J Safrit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720069917 PECOS PAC ID: 7416008115 Enrollment ID: I20090618000781 |
| Provider Name | Neville W Forbes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699766006 PECOS PAC ID: 3870644578 Enrollment ID: I20100309000820 |
| Provider Name | Olufolarin Akanfe Ajao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528059920 PECOS PAC ID: 2062563760 Enrollment ID: I20100510000526 |
| Provider Name | Brenda Chillcott Helms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912673161 PECOS PAC ID: 4587056361 Enrollment ID: I20220128001222 |
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