Deweese, Gary Kenneth
Deweese, Gary Kenneth is an individual health care provider with primary practice located at 633 Brookdale Dr Ste 100 , Statesville NC 28677-3471. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Deweese, Gary Kenneth can be contacted via phone (704) 873-7250.Contact Information
Primary practice address
633 Brookdale Dr Ste 100
Statesville NC 28677-3471
Phone: (704) 873-7250
Fax: (704) 838-1544
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 32606 | North Carolina |
Profile Details
| NPI number | 1790744225 |
|---|---|
| LBN Legal business name | Deweese, Gary Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | May 30th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790744225 | NPPES |
| North Carolina | MEDICAID | 8928437 |
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