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NPI Code Detail

MEDICARE: COURTVIEW OB/GYN ASSOCIATES, PA

MEDICARE: COURTVIEW OB/GYN ASSOCIATES, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1173000000XLegal Medicine

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023050630
Entity Type Code : Organization
Provider Name (Legal Business Name) : COURTVIEW OB/GYN ASSOCIATES, PA
Provider Business Mailing Address
First Line : 527 S NEW HOPE RD
Second Line :
City : GASTONIA
State : NC
Zip : 28054-4040
Country : US
Telephone Number : 704-854-3600
Fax Number : 704-854-3619
Provider Business Practice Location Address
First Line : 527 S NEW HOPE RD
Second Line :
City : GASTONIA
State : NC
Zip : 28054-4040
Country : US
Telephone Number : 704-854-3600
Fax Number : 704-854-3619
Authorized Official
Title or Position : CEO
Name : DR. EILEEN SALES
Credential : MD
Telephone Number : 704-854-3600
Provider Enumeration Date : 06/11/2006
Last Update Date : 08/02/2012

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Directions to “COURTVIEW OB/GYN ASSOCIATES, PA ” Practice Location

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