Individual
GARY MARKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.O.
Contact information
Practice address
561 COX ROAD, GASTONIA, SC 28054-0628
(704) 866-7772
(704) 866-4292
Mailing address
561 COX ROAD, GASTONIA, SC 28054-0628
(704) 866-7772
(704) 866-4292
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0141350002
MEDICARE OFFICE PTAN
—
05
—
7702806
—
NC
Enumeration date
07/16/2008
Last updated
10/14/2010
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