Individual
DR. GERALD WAYNE CAPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2101 W ARLINGTON BLVD STE 210, GREENVILLE, NC 27834-5758
(252) 931-7638
(252) 931-7694
Mailing address
PO BOX 30750, GREENVILLE, NC 27833-0750
(252) 931-7638
(252) 931-7694
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101049514
VA
2085R0202X
Diagnostic Radiology Physician
Primary
9900454
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89-11991
—
NC
Enumeration date
08/02/2005
Last updated
09/09/2024
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