Individual
DR. HERMAN CLARK GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 COX RD, SUITE A, GASTONIA, NC 28054-3460
(704) 864-3300
(704) 864-2002
Mailing address
900 COX RD, SUITE A, GASTONIA, NC 28054-3460
(704) 864-3300
(704) 864-3300
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
9900850
NC
208100000X
Physical Medicine & Rehabilitation Physician
Primary
9900850
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225X
BLUE CROSS BLUE SHEILD
NC
05
—
891225X
—
NC
05
—
N00851
—
SC
Enumeration date
04/14/2006
Last updated
12/07/2022
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