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Individual
MR. GARY DORRELL OCHS
Active
Individual
MR. GARY DORRELL OCHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
101719
NC
261QU0200X
Urgent Care Clinic/Center
101719
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
393898
MAMSI
NC
01
—
85548
NCBCBS
NC
05
—
8985548
—
NC
01
—
970022487
MEDICARE RAILROAD
NC
Enumeration date
07/18/2006
Last updated
07/24/2012
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