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NPI Code Detail

MEDICARE: GALA CURETON HENSON MD

MEDICARE: GALA CURETON HENSON 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
1207Q00000XFamily Medicine Physician200201259NC

General Provider Information

NPI Number : 1033122288
Entity Type Code : Individual
Provider Name (Legal Business Name) : GALA CURETON HENSON MD
Provider Business Mailing Address
First Line : PO BOX 19305
Second Line :
City : CHARLOTTE
State : NC
Zip : 28219-9305
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 251 EASTWAY DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28213-7103
Country : US
Telephone Number : 704-446-9991
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2006
Last Update Date : 07/15/2024

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Directions to “ GALA CURETON HENSON MD” Practice Location

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