Provider Demographics
NPI:1235101858
Name:GALLINGER, ROY P (MD)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:P
Last Name:GALLINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:430 FISHER CREEK RD
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-7700
Mailing Address - Country:US
Mailing Address - Phone:828-586-4012
Mailing Address - Fax:828-586-5162
Practice Address - Street 1:430 FISHER CREEK RD
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-7700
Practice Address - Country:US
Practice Address - Phone:828-586-4012
Practice Address - Fax:828-586-5162
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC29917207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8934372Medicaid
NC8934372Medicaid
NC206498AMedicare PIN