Individual
DR. MICHAEL DAVID GAVIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 MARK DR, EDENTON, NC 27932-1704
(252) 482-2134
(252) 482-5529
Mailing address
CHOWAN OBSTETRICS AND GYNECOLOGY, 105 MARK DRIVE, EDENTON, NC 27932
(252) 482-2134
(252) 482-5529
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
200200358
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89131EY
—
NC
Enumeration date
12/18/2006
Last updated
07/08/2007
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