Individual
DR. THOMAS J GAVIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15830 JOHN J DELANEY DR, SUITE 175, CHARLOTTE, NC 28277-3294
(704) 377-4009
Mailing address
PO BOX 497, HUNTERSVILLE, NC 28070-0497
(704) 377-4009
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
26926
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7934986
—
NC
Enumeration date
05/04/2006
Last updated
04/04/2012
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