Gravely, Marshall Guilbert

Gravely, Marshall Guilbert is an individual health care provider with primary practice located at 420 N Salisbury St , Lexington NC 27292-3548. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gravely, Marshall Guilbert can be contacted via phone (336) 243-7475.

Contact Information

Primary practice address
420 N Salisbury St Lexington NC 27292-3548
Phone: (336) 243-7475
Fax: (336) 249-6771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C002471 North Carolina

Profile Details

NPI number 1235247628
LBN Legal business name Gravely, Marshall Guilbert
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2006
Last updated Oct 21st, 2019 - about 6 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 1235247628 NPPES
North Carolina Other 191052 MEDCOST
North Carolina Other 2327208 MEDCOST
North Carolina MEDICAID 6003651 MEDCOST
North Carolina Other 1235247628 MEDCOST
North Carolina Other 1235247628 MEDCOST
North Carolina Other 1235247628 MEDCOST
North Carolina Other 132MR MEDCOST

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