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Individual
ALLEN BRUCE GILPIN
Active
Individual
ALLEN BRUCE GILPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36713
NC
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
36713
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1145U
BCBS
NC
05
—
891145U
—
NC
01
—
P00337809
RAILROAD MEDICARE B
—
Enumeration date
02/15/2006
Last updated
09/04/2019
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