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1881648186

NPI Code Detail

MEDICARE: CHARLES J. GAINOR MD

MEDICARE: CHARLES J. GAINOR 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
1	208VP0000X	Pain Medicine Physician	29268	NC
2	207Q00000X	Family Medicine Physician	29268	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	34324	OTHER	NC	BLUE CROSS

General Provider Information

NPI Number	:	1881648186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES J. GAINOR MD

Provider Business Mailing Address
First Line	:	645 N MAIN ST
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27260-5017
Country	:	US
Telephone Number	:	336-883-0029
Fax Number	:

Provider Business Practice Location Address
First Line	:	5093 UNIVERSITY PKWY
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27106-6085
Country	:	US
Telephone Number	:	336-883-0029
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	07/19/2024

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Directions to “ CHARLES J. GAINOR MD” Practice Location

Language	Start Address	Practice Location

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