Gaston, Raymond Glenn

Gaston, Raymond Glenn is an individual health care provider with primary practice located at 1915 Randolph Rd , Charlotte NC 28207-1101. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Gaston, Raymond Glenn can be contacted via phone (704) 323-2000.

Contact Information

Primary practice address
1915 Randolph Rd Charlotte NC 28207-1101
Phone: (704) 323-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2007-00236 North Carolina
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 2007-00236 North Carolina

Profile Details

NPI number 1053334367
LBN Legal business name Gaston, Raymond Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Oct 17th, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053334367 NPPES
North Carolina MEDICAID 5907545
North Carolina Other 01061742A
North Carolina MEDICAID 200852490
North Carolina Other 000000490473

Popular Providers