Gaps Health Nc
General Practice in Mount Airy, NC. Organization (NPI-2).
NPI number1083273056
StatusActive
Last updated in NPPESDec 14, 2023
Details
- NPI
- 1083273056
- Entity type
- Organization (NPI-2)
- Legal business name
- Gaps Health Nc
- Organization subpart
- No
- Enumeration date
- Jun 12, 2019
- Certification date
- Dec 14, 2023
- Last updated
- Dec 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 207RG0300X | Internal Medicine, Geriatric Medicine | – | – | |
| 207RH0002X | Internal Medicine, Hospice and Palliative Medicine | – | – | |
| 208M00000X | Hospitalist | – | – |
Practice location
130 Chandler Hills Dr Ste 105Mount Airy, NC 27030-8805
Phone 276-233-0945
Mailing address
130 Chandler Hills Dr Ste 105Mount Airy, NC 27030-8805
Phone 276-233-0945
Authorized official
Jody Hunter
Chief Executive Officer
2039012493
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