Deweese, Gary Kenneth

Deweese, Gary Kenneth is an individual health care provider with primary practice located at 633 Brookdale Dr Ste 100 , Statesville NC 28677-3471. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Deweese, Gary Kenneth can be contacted via phone (704) 873-7250.

Contact Information

Primary practice address
633 Brookdale Dr Ste 100 Statesville NC 28677-3471
Phone: (704) 873-7250
Fax: (704) 838-1544
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 32606 North Carolina

Profile Details

NPI number 1790744225
LBN Legal business name Deweese, Gary Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated May 30th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790744225 NPPES
North Carolina MEDICAID 8928437

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