Most Relevant Information
Provider Data
| NPI Number: | 1003271644 |
| Provider Name: | GINA DIMARTINO |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/28/2015 |
| Last Updated: | 12/28/2015 |
Provider Practice Location
1028 LEE-ANN DRIVE, NE
SUITE 200
CONCORD
NC
280252915
Practice Location Phone/Fax
| Phone: | 7047821892 |
| Fax: |
Provider Mailing Location
1028 LEE-ANN DRIVE, NE
SUITE 200
CONCORD
NC
280252915
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |