Community Medical, P.a.
Community Medical, P.a. is a health care provider in Marshville, NC. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 520 W Main St, Marshville, NC 28103-1197, US |
|Practice Location Phone||704-624-3388|
|Practice Location Fax||704-624-3390|
|Legal Business Name||COMMUNITY MEDICAL, P.A.|
|Enumeration Date ? ||Jul 27, 2007|
|Last Update Date ? ||Mar 18, 2015|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Community Medical, P.a.
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities||Primary Care ||32725||North Carolina|
Legacy Provider IDs of Community Medical, P.a.
|Provider Id||Issuer State||Issuer Type||Issuer|
|2310459||North Carolina||Medicare Pin|
Authorized Official of Community Medical, P.a.
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Community Medical, P.a.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official ||Dr. Gary Wayne Henry (M.D.)|
|Authorized Official Title/Position||PRESIDENT|
|Authorized Official Phone Number||704-221-3415|