Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gastonia Physician Services, PLLC

Organization Emergency Medicine Physician · NPI 1104644004

Gastonia Physician Services, PLLC is an Emergency Medicine Physician in Belmont, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1000 Caromont Pkwy
Belmont, NC 28012-0140
Phone: (704) 834-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1104644004
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Larsen — Vp, Credentialing · (770) 874-5400
NPI enumeratedSeptember 30, 2024
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 30, 2024
Mailing address5665 New Northside Dr Ste 320, Atlanta, GA 30328-5834

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