BC WALL MEDICAL GROUP PA
Organization (NPI-2)
Active
Internal Medicine
Provider Information
- NPI Number
1164610580- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1574 UNION ROAD A, GASTONIA, NC, 280545633
- Phone
- (704) 866-4607
- Fax
- (704) 866-5292
Specialties & Taxonomies
Internal Medicine
Primary License: NC #9701190