Gerald Douglas Depold in Fort Bragg - Medical
Gerald Douglas Depold - NPI 1245217900
Gerald Douglas Depold is a Medical in Fort Bragg, North Carolina. Gerald Douglas Depold practices all healthcare services and medical treatments related to Medical. The NPI Number for Gerald Douglas Depold is 1245217900. The last update date is 2007-07-08.
Gerald Douglas Depold's current location address is 2817 Reilly Rd, Fort Bragg, North Carolina. You can contact this provider via phone number 9109078922 and fax number 9109076069. The mailing address for Gerald Douglas Depold is 2817 Reilly Rd, Fort Bragg, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerald Douglas Depold |
|---|---|
| Address | 2817 Reilly Rd, Fort Bragg, North Carolina |
| Phone Number | 9109078922 |
| Fax Number | 9109076069 |
| Sole Proprietor | X |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1245217900 |
|---|---|
| Provider Enumeration Date | 2005-12-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2817 Reilly Rd |
|---|---|
| City | Fort Bragg |
| State | North Carolina (NC) |
| Post Code | 283107324 |
| Phone Number | 9109078922 |
| Fax Number | 9109076069 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 1051876 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Gerald Douglas Depold?
The Gerald Douglas Depold has been issued the NPI (National Provider Identifier) 1245217900 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Gerald Douglas Depold located?
The Gerald Douglas Depold is located at 2817 Reilly Rd, Fort Bragg, NC 283107324.
What is Gerald Douglas Depold's area of expertise and its corresponding taxonomy classification?
The Gerald Douglas Depold's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Gerald Douglas Depold receive its 1245217900 assignment from the Centers for Medicare & Medicaid Services?
The Gerald Douglas Depold was assigned its 1245217900 by the Centers for Medicare & Medicaid Services on 2005-12-23.
As of what date were the details pertaining to Gerald Douglas Depold last refreshed?
The information related to the Gerald Douglas Depold, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1457355786
Address: P. O. Box 2358 Snow Hill Road, Salisbury, MD