# GEM WELLNESS & INTEGRATIVE MEDICINE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780479634
- **Authorized official:** KRISTINA KOHUTH PA-C (OWNER)
- **Authorized official phone:** (919) 858-6767

## Contact information

- **Practice address:** 421 FAYETTEVILLE ST STE 1100, RALEIGH, NC 27601-3000
- **Practice address phone:** (989) 858-5757
- **Mailing address:** 421 FAYETTEVILLE ST STE 1100, RALEIGH, NC 27601-3000
- **Mailing address phone:** (989) 858-5757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/11/2025
- **Last updated:** 04/11/2025