Individual
GAVIN BLAKE VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
710 MILITARY CUTOFF RD STE 320, WILMINGTON, NC 28405-2382
(910) 256-4350
Mailing address
710 MILITARY CUTOFF RD STE 320, WILMINGTON, NC 28405-2382
(910) 256-4350
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-16201
NC
363A00000X
Physician Assistant
Primary
2709
WV
363A00000X
Physician Assistant
50.008497RX
OH
Other
Enumeration date
01/22/2019
Last updated
05/05/2026
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