Individual
ERIC GAVOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
291 BROAD ST, KERNERSVILLE, NC 27284
(336) 993-8181
(336) 996-9539
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2018-02437
NC
207R00000X
Internal Medicine Physician
24986
MS
Other
Enumeration date
04/02/2014
Last updated
12/08/2021
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