Individual
DR. WALTER RAY GAMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 SPRING FOREST RD, GREENVILLE, NC 27834-7244
(252) 752-4124
(252) 758-8954
Mailing address
420 SPRING FOREST RD, GREENVILLE, NC 27834-7244
(252) 752-4124
(252) 758-8954
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
17355
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34460
BCBC OF NC
NC
01
—
70261
MEDCOST
NC
05
—
8934460
—
NC
Enumeration date
07/24/2006
Last updated
01/24/2008
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