Individual
GREGORY C GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
201 GOVERNORS DR SW STE 400, HUNTSVILLE, AL 35801-5183
(256) 265-7246
(256) 265-7017
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-0116
(256) 533-7064
(256) 704-0115
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-063750
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009927865
—
AL
Enumeration date
10/20/2005
Last updated
04/10/2018
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