Healthcare Provider Details

I. General information

NPI: 1750659488
Provider Name (Legal Business Name): CATAWBA VALLEY MEDICAL GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2011
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3521 GRAYSTONE PL SE SUITE 202
CONOVER NC
28613-8201
US

IV. Provider business mailing address

3521 GRAYSTONE PL SE STE 202
CONOVER NC
28613-8269
US

V. Phone/Fax

Practice location:
  • Phone: 828-732-5700
  • Fax: 828-732-5701
Mailing address:
  • Phone: 828-732-5700
  • Fax: 828-732-5701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: PAMELA GALLAGHER
Title or Position: VP OF FINANCE
Credential:
Phone: 828-326-3800