Drake, Gregory

Drake, Gregory is an individual health care provider with primary practice located at 2421 Silver Stream Lane , Wilmington NC 28401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Drake, Gregory can be contacted via phone (910) 341-3389.

Contact Information

Primary practice address
2421 Silver Stream Lane Wilmington NC 28401
Phone: (910) 341-3389
Fax: (910) 815-3144
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 23841 North Carolina

Profile Details

NPI number 1902914740
LBN Legal business name Drake, Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Nov 12th, 2008 - about 16 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 1902914740 NPPES
North Carolina Other 126CN BCBS NC
North Carolina MEDICAID 89126CN BCBS NC
North Carolina Other 340018123 BCBS NC

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