Gavigan, Thomas J

Gavigan, Thomas J is an individual health care provider with primary practice located at 15830 John J Delaney Dr Suite 175, Charlotte NC 28277-3294. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Gavigan, Thomas J can be contacted via phone (704) 377-4009.

Contact Information

Primary practice address
15830 John J Delaney Dr Suite 175 Charlotte NC 28277-3294
Phone: (704) 377-4009
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 26926 North Carolina

Profile Details

NPI number 1760430607
LBN Legal business name Gavigan, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Apr 4th, 2012 - about 12 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 1760430607 NPPES
North Carolina MEDICAID 7934986

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