Healthcare Provider Details

I. General information

NPI: 1184844003
Provider Name (Legal Business Name): MITCHELL RAY GORE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 DUKE HEALTH CARY PL STE 320
CARY NC
27519-6760
US

IV. Provider business mailing address

40 DUKE MEDICINE CIR # 1F
DURHAM NC
27710-4000
US

V. Phone/Fax

Practice location:
  • Phone: 919-385-5197
  • Fax: 919-613-9708
Mailing address:
  • Phone: 919-684-3834
  • Fax: 919-684-8583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number2010-01375
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: