Bc Wall Medical Group Pa

LBN: Bc Wall Medical Group Pa
Bc Wall Medical Group Pa is an health care organization with primary practice located at 1574 Union Road A, Gastonia NC 28054-5633. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Bc Wall Medical Group Pa can be contacted via phone (704) 866-4607, or through Wall, Brian K via phone (704) 866-4607.

Contact Information

Primary practice address
1574 Union Road A Gastonia NC 28054-5633
Phone: (704) 866-4607
Fax: (704) 866-5292
Website:
Map and Directions
Authorized official contact:
Name: Wall, Brian K Doctor of Medicine (MD)
Phone: (704) 866-4607

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9701190 North Carolina

Profile Details

NPI number 1164610580
LBN Legal business name Bc Wall Medical Group Pa
DBA Doing business as
Authorized official Wall, Brian K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2007
Last updated Oct 10th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164610580 NPPES
North Carolina MEDICAID 891057P

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