Gammon, Walter Ray

Gammon, Walter Ray is an individual health care provider with primary practice located at 420 Spring Forest Rd , Greenville NC 27834-7244. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Gammon, Walter Ray can be contacted via phone (252) 752-4124.

Contact Information

Primary practice address
420 Spring Forest Rd Greenville NC 27834-7244
Phone: (252) 752-4124
Fax: (252) 758-8954
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 17355 North Carolina

Profile Details

NPI number 1912929472
LBN Legal business name Gammon, Walter Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jan 24th, 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 1912929472 NPPES
North Carolina MEDICAID 8934460
North Carolina Other 34460
North Carolina Other 70261

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