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Contact Information

GASTONIA SPINE & SPORT, P.A.
1941 HOFFMAN RD STE 6
GASTONIA, NC28054-7524
 Phone: 704-990-8266
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for GASTONIA SPINE SPORT PA · (Female)

NPI # 1730468919
Status Active
Credentials
Entity Individual
Enumeration date 08/05/2011
Last updated 08/05/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC License # 4142
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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