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NPI Code Detail

MEDICARE: GAFFNEY HEALTH SERVICES INC.

MEDICARE: GAFFNEY HEALTH SERVICES INC.
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1275778011
Entity Type Code : Organization
Provider Name (Legal Business Name) : GAFFNEY HEALTH SERVICES INC.
Provider Business Mailing Address
First Line : 4935 ALBEMARLE RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28205-6617
Country : US
Telephone Number : 704-566-6332
Fax Number : 704-566-9038
Provider Business Practice Location Address
First Line : 4935 ALBEMARLE RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28205-6617
Country : US
Telephone Number : 704-566-6332
Fax Number :
Authorized Official
Title or Position : CHIEF PHYSICIAN
Name : DR. MARY ELIZABETH GAFFNEY
Credential : D.O.
Telephone Number : 704-566-6332
Provider Enumeration Date : 12/09/2008
Last Update Date : 02/16/2015

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Directions to “GAFFNEY HEALTH SERVICES INC. ” Practice Location

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