MEDICARE: NANCY J GERBER M.D.

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	207R00000X	Internal Medicine Physician	2010-01408	NC
2	208M00000X	Hospitalist Physician	2010-01408	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

General Provider Information

NPI Number	:	1932198603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY J GERBER M.D.

Provider Business Mailing Address
First Line	:	508 S FRONT ST
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28401-5014
Country	:	US
Telephone Number	:	910-772-1456
Fax Number	:

Provider Business Practice Location Address
First Line	:	508 S FRONT ST
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28401-5014
Country	:	US
Telephone Number	:	678-478-0547
Fax Number	:

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

Provider Enumeration Date	:	10/17/2005
Last Update Date	:	03/07/2019

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