Individual
DR. EDUARDO A GEMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6030 W HIGHWAY 74, SUITE A, INDIAN TRAIL, NC 28079-3468
(704) 246-2777
(704) 246-2788
Mailing address
PO BOX 601888, CHARLOTTE, NC 28260-1888
(704) 246-2777
(704) 246-2788
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2013-01784
NC
207Q00000X
Family Medicine Physician
MD00042734
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194733774
—
NC
05
—
8369621
—
WA
Enumeration date
08/03/2006
Last updated
02/10/2014
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