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NPI Code Detail

MEDICARE: MR. ALAN CHARLES GORROD

MEDICARE: MR. ALAN CHARLES GORROD
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
1225X00000XOccupational Therapist0068NC

General Provider Information

NPI Number : 1053516146
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ALAN CHARLES GORROD
Provider Business Mailing Address
First Line : 2220 WALKER AVE
Second Line :
City : GREENSBORO
State : NC
Zip : 27403-2152
Country : US
Telephone Number : 336-273-2058
Fax Number :
Provider Business Practice Location Address
First Line : 206 GREENSBORO RD
Second Line :
City : HIGH POINT
State : NC
Zip : 27260-3456
Country : US
Telephone Number : 336-882-2164
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2007
Last Update Date : 07/08/2007

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Directions to “ MR. ALAN CHARLES GORROD ” Practice Location

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