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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, P.A.

NPI # 1730468919
LBN Legal business name GASTONIA SPINE & SPORT, P.A.
Authorized official AARON STUMP - (OWNER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/05/2011
Last updated 08/05/2011 - About 15 years ago
Identifiers
NC License # 4142
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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