Individual
GREGORY DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2421 SILVER STREAM LANE, WILMINGTON, NC 28401
(910) 341-3389
(910) 815-3144
Mailing address
2421 SILVER STREAM LN, WILMINGTON, NC 28401-7684
(910) 341-3389
(910) 815-3144
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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