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NPI Code Detail

MEDICARE: HENRY TUCKER GILBERT MD

MEDICARE: HENRY TUCKER GILBERT MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician20797NC
22085R0202XDiagnostic Radiology Physician0101-026375VA

General Provider Information

NPI Number : 1114903176
Entity Type Code : Individual
Provider Name (Legal Business Name) : HENRY TUCKER GILBERT MD
Provider Business Mailing Address
First Line : 3801 W MARKET ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27407-1301
Country : US
Telephone Number : 336-852-3300
Fax Number : 336-852-0651
Provider Business Practice Location Address
First Line : 3801 W MARKET ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27407-1301
Country : US
Telephone Number : 336-852-3300
Fax Number : 336-852-0651
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2005
Last Update Date : 09/08/2008

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Directions to “ HENRY TUCKER GILBERT MD” Practice Location

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