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Individual

MARK R GABRYCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AU.D.

Contact information

Practice address
645 AMALIA STREET NE, CONCORD, NC 28025-2434
(704) 295-3255
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
7494
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1464G
BCBS-NC
NC
05
7413594
NC
01
7591935
AETNA
NC
01
7779564
CIGNA
NC
01
870876
WELLCARE OF SC
SC
01
P01077629
MEDICARE RAILROAD
NC
05
SAT009
SC
Enumeration date
11/28/2006
Last updated
03/06/2015
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