Individual
GREGORY DRAKE
Active
Individual
GREGORY DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
23841
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126CN
BCBS NC
NC
01
—
340018123
RAILROAD MEDICARE
NC
05
—
89126CN
—
NC
Enumeration date
08/29/2006
Last updated
11/12/2008
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