person
Dr. Johnny Eugene Gaston, MD
Medical Physician Assistant in Fayetteville, North Carolina
NPI 1649212440

Johnny Eugene Gaston is a Medical Physician Assistant based in Fayetteville, NC and is specialized in Medical. Johnny Eugene Gaston practices in Fayetteville, NC and has the professional credentials of MD. The NPI Number for Johnny Eugene Gaston is 1649212440 and holds a License No. 22112 (North Carolina).

The current practice location address for Johnny Eugene Gaston is 2312B Murchison Rd, Fayetteville, NC and can be reached out via phone at 910-488-6331 and via fax at 910-488-5351. You can also correspond with Johnny Eugene Gaston through the mailing address at 2312B MURCHISON RD, FAYETTEVILLE, NC - 28301-3518 (mailing address contact number: 910-488-6331).

Location: 2312B Murchison Rd, Fayetteville, NC, 28301-3518
person
Provider Profile Details
NPI Number
1649212440
Provider Name
Johnny Eugene Gaston
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2312B Murchison Rd, Fayetteville, NC, 28301-3518
Phone Number
910-488-6331
Fax Number
910-488-5351
Provider Enumeration Date
06/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8901585 05 NC
8934945 05 NC
institution
Provider Business Practice Location Address Details
Address
2312B Murchison Rd
City
State
Zip
28301-3518
Phone Number
910-488-6331
Fax Number
910-488-5351
person
Provider Business Mailing Address Details
Address
2312B Murchison Rd
City
State
Zip
28301-3518
Phone Number
910-488-6331
Fax Number
910-488-5351
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
22112 (North Carolina)
Definition
Definition to come...
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