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

Marietta Medical Clinic, PA

Organization Specialist · NPI 1912142167

Marietta Medical Clinic, PA is a Specialist in Gastonia, North Carolina. Licensed in North Carolina. Registered with an NPI since 2008.

Licensed in
NC
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

401 S Marietta St
Gastonia, NC 28052-4331
Phone: (704) 866-8030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 200200150 (NC)

Record details

NPI number1912142167
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ifeanyi Okafor — President · (704) 866-8030
NPI enumeratedDecember 2, 2008
Last updated in NPPESMarch 12, 2009
Mailing addressPo Box 550457, Gastonia, NC 28055-0457

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