Healthcare Provider Details

I. General information

NPI: 1770386690
Provider Name (Legal Business Name): G&N MEDICAL, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2025
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3019 N CENTER ST
HICKORY NC
28601-1160
US

IV. Provider business mailing address

6521 BUENA VISTA CT
HICKORY NC
28601-9416
US

V. Phone/Fax

Practice location:
  • Phone: 706-910-6708
  • Fax:
Mailing address:
  • Phone: 706-910-6708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. NATHANIEL A FULLER
Title or Position: MANAGER
Credential: PA-C
Phone: 706-910-6708