Dr. Victor Marcel Gellineau III, M.D.
Family Medicine in Raleigh, NC. Individual provider (NPI-1).
NPI number1184794331
StatusActive
Last updated in NPPESSep 14, 2021
Details
- NPI
- 1184794331
- Entity type
- Individual (NPI-1)
- Name
- Dr. Victor Marcel Gellineau III
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 8, 2006
- Certification date
- Sep 14, 2021
- Last updated
- Sep 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 2021-02186 | NC | Yes |
| 207Q00000X | Family Medicine | A75952 | CA |
Practice location
4600 Capital BlvdRaleigh, NC 27604-4478
Phone 919-980-7008 · Fax 919-336-4528
Mailing address
Po Box 746724Atlanta, GA 30374-6724
Phone 312-733-9730 · Fax 773-866-8014
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