Individual
GINTARAS EDUARD DEGESYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3023
(919) 784-3497
Mailing address
4020 WESTCHASE BLVD, SUITE 390, RALEIGH, NC 27607-3938
(919) 834-2767
(919) 834-0234
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
27040
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8912329
—
NC
Enumeration date
07/09/2006
Last updated
11/06/2007
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