Individual
DR. ROBERT PETER GOSSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 N WASHINGTON ST, SHELBY, NC 28150-1800
(704) 482-2011
(704) 484-0303
Mailing address
9735 KINCEY AVE, SUITE 201, HUNTERSVILLE, NC 28078-9118
(704) 414-2870
(704) 414-2860
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
24070
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230126
MEDICARE PTAN
NC
01
—
24070
NC MEDICAL LICENSE #
NC
01
—
340013358
RR MEDICARE
NC
Enumeration date
08/14/2006
Last updated
05/26/2021
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