Provider Demographics
NPI:1467855916
Name:GAMEWELL, PAUL
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:GAMEWELL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 271
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORD COLLEGE
Mailing Address - State:NC
Mailing Address - Zip Code:28671-0271
Mailing Address - Country:US
Mailing Address - Phone:828-438-1930
Mailing Address - Fax:828-438-1937
Practice Address - Street 1:1190 DREXEL RD
Practice Address - Street 2:
Practice Address - City:VALDESE
Practice Address - State:NC
Practice Address - Zip Code:28690-9570
Practice Address - Country:US
Practice Address - Phone:828-438-1930
Practice Address - Fax:828-438-1937
Is Sole Proprietor?:No
Enumeration Date:2014-09-29
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3755231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist