Individual
DR. GUY ELISE CONSTANT DE GENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 JEFFERSON ST, WHITEVILLE, NC 28472-3634
(910) 642-1776
(910) 642-9305
Mailing address
PO BOX 602530, CHARLOTTE, NC 28260-2530
(910) 642-1776
(910) 642-9305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9400040
NC
207RC0000X
Cardiovascular Disease Physician
9400040
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
9400040
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558323139
—
NC
01
—
28112
BCBS NC PROVIDER #
NC
01
—
4652705
AETNA PROVIDER NUMBER
NC
01
—
68476
MEDCOST PROVIDER #
NC
01
—
7855
PARTNERS MEDICARE #
NC
05
—
8928112
—
NC
Enumeration date
04/06/2006
Last updated
07/12/2016
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