Individual provider · NPI-1
Perry W Aycock Jr., M.D.
Internal Medicine · Gastonia, NC
NPI number1922067057
StatusActive
Last updated in NPPESFeb 19, 2014
Details
- NPI
- 1922067057
- Entity type
- Individual (NPI-1)
- Name
- Perry W Aycock Jr.
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 18, 2006
- Last updated
- Feb 19, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 18386 | NC | Yes |
| 207RG0100X | Internal Medicine, Gastroenterology | 18386 | NC |
Practice location
660 Summit Crossing PlGastonia, NC 28054-2104
Phone 704-867-0735 · Fax 704-867-0738
Mailing address
660 Summit Crossing PlGastonia, NC 28054-2181
Phone 704-867-0735 · Fax 704-867-0738
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