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NPI Code Detail

MEDICARE: GREGORY WESLEY WOO MD

MEDICARE: GREGORY WESLEY WOO 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
1207RC0000XCardiovascular Disease PhysicianME79393FL
2207RC0001XClinical Cardiac Electrophysiology Physician2010-00546NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104831858
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY WESLEY WOO MD
Provider Business Mailing Address
First Line : 2555 COURT DR STE 200
Second Line :
City : GASTONIA
State : NC
Zip : 28054-2178
Country : US
Telephone Number : 704-867-2141
Fax Number : 704-867-2308
Provider Business Practice Location Address
First Line : 2555 COURT DR STE 200
Second Line :
City : GASTONIA
State : NC
Zip : 28054-2178
Country : US
Telephone Number : 704-867-2141
Fax Number : 704-867-2308
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2006
Last Update Date : 03/29/2018

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Directions to “ GREGORY WESLEY WOO MD” Practice Location

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