MEDICARE: G&N MEDICAL, PLLC

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	207P00000X	Emergency Medicine Physician
2	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1770386690
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	G&N MEDICAL, PLLC

Provider Business Mailing Address
First Line	:	6521 BUENA VISTA CT
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28601-9416
Country	:	US
Telephone Number	:	706-910-6708
Fax Number	:

Provider Business Practice Location Address
First Line	:	3019 N CENTER ST
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28601-1160
Country	:	US
Telephone Number	:	706-910-6708
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. NATHANIEL A FULLER
Credential	:	PA-C
Telephone Number	:	706-910-6708

Provider Enumeration Date	:	03/27/2025
Last Update Date	:	04/20/2026

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Directions to “G&N MEDICAL, PLLC ” Practice Location

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