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Individual

DR. JOHN STUART GAUL III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1915 RANDOLPH RD, CHARLOTTE, NC 28207-1101
(704) 323-2000
Mailing address
4601 PARK RD, STE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
28412
NC
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
28412
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8934974
NC
05
N28412
SC
Enumeration date
11/16/2005
Last updated
10/17/2011
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