Individual
DR. JOSE GERARDO VERGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300A E MCKAY ST, ELIZABETHTOWN, NC 28337-9037
(910) 862-5500
(910) 862-5501
Mailing address
PO BOX 40908, FAYETTEVILLE, NC 28309-0908
(910) 615-6949
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2017-02435
NC
207R00000X
Internal Medicine Physician
MD19527
ME
207RG0100X
Gastroenterology Physician
A55692
CA
Other
Enumeration date
01/30/2006
Last updated
04/17/2026
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