Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Marietta Medical Clinic, PA

Organization Specialist · NPI 1912142167

Marietta Medical Clinic, PA provides Specialist services in Gastonia, North Carolina. Licensed in North Carolina. Registered with an NPI since 2008.

Licensed in
NC
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

401 S Marietta St
Gastonia, NC 28052-4331 Not confirmed with CMS for 17 years — call before visiting
Phone: (704) 866-8030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 200200150 (NC)

Record details

NPI number1912142167
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ifeanyi Okafor — President · (704) 866-8030
NPI enumeratedDecember 2, 2008
Last updated in NPPESMarch 12, 2009
Mailing addressPo Box 550457, Gastonia, NC 28055-0457

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