MEDICARE: G&G HEALTHCARE, PC CERRO GORDO

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	207Q00000X	Family Medicine Physician

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	:	1376667154
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	G&G HEALTHCARE, PC CERRO GORDO

Provider Business Mailing Address
First Line	:	7490 ANDREW JACKSON HIGHWAY
Second Line	:
City	:	CERRO GORDO
State	:	NC
Zip	:	28430
Country	:	US
Telephone Number	:	910-654-2050
Fax Number	:	910-654-1258

Provider Business Practice Location Address
First Line	:	7490 ANDREW JACKSON HIGHWAY
Second Line	:
City	:	CERRO GORDO
State	:	NC
Zip	:	28430
Country	:	US
Telephone Number	:	910-654-2050
Fax Number	:	910-654-1258

Authorized Official
Title or Position	:	COO
Name	:	MR. CARVIN K GERLAD
Credential	:
Telephone Number	:	910-642-2050

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	06/11/2024

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