John E. Gaston MD Dba
John E. Gaston MD Dba is a Health Maintenance Organization in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.
- Licensed in
- NC
- In the registry since
- 2007
Practice location Address checks out
2312B Murchison RdFayetteville, NC 28301-3518
Phone: (910) 488-6331
Fax: (910) 488-5351
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Specialties & licences
| Health Maintenance Organization (primary) | Taxonomy 302R00000X · Licence 22112 (NC) |
|---|
Record details
| NPI number | 1306965389 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Johnny Gaston — Dba · (910) 488-6331 |
| Other names | Fayetteville Pediatrics |
| NPI enumerated | March 28, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 2312b Murchison Rd, Fayetteville, NC 28301-3518 |
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