# DR. GARY SCOTT SCHENK SR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1417021254
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 34155 | NC | Yes |

## Other

- **Enumeration date:** 11/20/2006
- **Last updated:** 03/13/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 110220 | CIGNA | NC |
| 01 | — | 7479B | BCBS | NC |
| 05 | — | 89-7479B | — | NC |