Individual
CHARLES J. GAINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5093 UNIVERSITY PKWY, WINSTON SALEM, NC 27106-6085
(336) 883-0029
Mailing address
645 N MAIN ST, HIGH POINT, NC 27260-5017
(336) 883-0029
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29268
NC
208VP0000X
Pain Medicine Physician
29268
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34324
BLUE CROSS
NC
05
—
8934318
—
NC
Enumeration date
05/20/2006
Last updated
07/19/2024
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