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MARIETTA MEDICAL CLINIC, PA
NPI 1912142167
Specialist in Gastonia, NC

Active since December 02, 2008
401 S MARIETTA ST, GASTONIA, NC 28052(704) 866-8030 Get Directions Write a Review

NPPES record last updated: March 12, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marietta Medical Clinic, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIETTA MEDICAL CLINIC, PA (NPI 1912142167) is a healthcare organization registered as a specialist in Gastonia, North Carolina and active in the NPI registry since December 2008. The organization lists Ifeanyi O Okafor, President, as its authorized official.

NPPES Registry Identity

NPI1912142167
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMARIETTA MEDICAL CLINIC, PA
Location Address401 S MARIETTA STGastonia, NC 28052-4331
Mailing AddressPo Box 550457Gastonia, NC 28055-0457 · (704) 866-8030
Phone(704) 866-8030
Organization SubpartNo
Authorized OfficialIfeanyi O OkaforPresident · (704) 866-8030
Enumeration DateDecember 2, 2008
Last NPPES UpdateMarch 12, 2009
✔ NPI 1912142167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NC · 200200150
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
401 S MARIETTA ST, Gastonia, NC 28052
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIETTA MEDICAL CLINIC PA
Clinic/Center
401 S MARIETTA ST
GASTONIA, NC 28052
Gaston County (704) 866-8030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marietta Medical Clinic, PA's NPI number?

The NPI number for Marietta Medical Clinic, PA is 1912142167. It was assigned to this organization in the NPPES registry on December 2, 2008.

Where is Marietta Medical Clinic, PA located?

Marietta Medical Clinic, PA is located at 401 S Marietta St, Gastonia, NC 28052. The listed phone number is (704) 866-8030.

What is Marietta Medical Clinic, PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Marietta Medical Clinic, PA was last updated on March 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.