Individual
DR. REY S GAVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
430 GEORGE WALLACE DR # 246, GADSDEN, AL 35903-2280
(256) 343-1800
(256) 365-1046
Mailing address
PO BOX 550, JACKSONVILLE, AL 36265-0550
(256) 435-5499
(256) 435-6064
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25404
AL
208100000X
Physical Medicine & Rehabilitation Physician
25404
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009933285
—
AL
01
—
P00190295
RR MEDICARE
AL
Enumeration date
10/31/2006
Last updated
07/26/2023
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