MEDICARE: G&G HEALTHCARE, PC

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
1	261QP2300X	Primary Care Clinic/Center

Other Identifiers

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

General Provider Information

NPI Number	:	1205184694
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	G&G HEALTHCARE, PC

Provider Business Mailing Address
First Line	:	PO BOX 250
Second Line	:
City	:	CERRO GORDO
State	:	NC
Zip	:	28430-0250
Country	:	US
Telephone Number	:	910-654-2050
Fax Number	:	910-654-3069

Provider Business Practice Location Address
First Line	:	7490 ANDREW JACKSON HWY
Second Line	:
City	:	CERRO GORDO
State	:	NC
Zip	:	28430-0250
Country	:	US
Telephone Number	:	910-654-2050
Fax Number	:	910-654-3069

Authorized Official
Title or Position	:	CFO
Name	:	PAUL GERALD JR.
Credential	:
Telephone Number	:	910-654-2050

Provider Enumeration Date	:	08/16/2012
Last Update Date	:	06/11/2024

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Directions to “G&G HEALTHCARE, PC ” Practice Location

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