Individual
DAVID LAWRENCE GISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
131 MEDICAL PARK RD STE 305, MOORESVILLE, NC 28117
(704) 663-0006
(704) 663-5224
Mailing address
131 MEDICAL PARK RD STE 305, MOORESVILLE, NC 28117-8525
(704) 663-0006
(704) 663-5224
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9800872
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1149N
BC
—
05
—
891149N
—
NC
Enumeration date
12/09/2005
Last updated
09/09/2020
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