Provider Demographics
NPI:1427040153
Name:GAULAND, CHRISTOPHER J (DPM)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:J
Last Name:GAULAND
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2140 W ARLINGTON BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-5709
Mailing Address - Country:US
Mailing Address - Phone:252-830-1000
Mailing Address - Fax:252-754-8309
Practice Address - Street 1:2140 W ARLINGTON BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-5709
Practice Address - Country:US
Practice Address - Phone:252-830-1000
Practice Address - Fax:252-754-8309
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC435213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC480031158OtherRAILROAD MEDICARE
NC790805XMedicaid
NC0805XOtherBCBS NC
NC2433624AMedicare ID - Type Unspecified
NC790805XMedicaid
NC2433624Medicare PIN