Individual
MR. GARY DORRELL OCHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
706 S COLLEGE RD, WILMINGTON, NC 28403-6411
(910) 798-2212
(910) 798-2242
Mailing address
706 S COLLEGE RD, WILMINGTON, NC 28403-6411
(910) 798-2212
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
101719
NC
261QU0200X
Urgent Care Clinic/Center
101719
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
393898
MAMSI
NC
01
—
85548
NCBCBS
NC
05
—
8985548
—
NC
01
—
970022487
MEDICARE RAILROAD
NC
Enumeration date
07/18/2006
Last updated
07/24/2012
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