Healthcare Provider Details

I. General information

NPI: 1518934868
Provider Name (Legal Business Name): MARY ELIZABETH GABRIEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: MARY ELIZABETH MOHER MD

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2817 REILLY RD WOMACK ARMY MEDICAL CENTER DOOH PES MEB
FT BRAGG NC
28310
US

IV. Provider business mailing address

2817 REILLY ROAD MCXCCOD CREDENTIALS WOMACK ARMY MEDICAL CENTER
FORT BRAGG NC
28310
US

V. Phone/Fax

Practice location:
  • Phone: 910-907-9891
  • Fax: 910-907-8451
Mailing address:
  • Phone: 910-907-8922
  • Fax: 910-907-6069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083A0100X
TaxonomyAerospace Medicine Physician
License NumberG2190
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: