Provider Demographics
NPI:1487639696
Name:CAPEL, GAIL MARIE (MD)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:MARIE
Last Name:CAPEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401
Mailing Address - Country:US
Mailing Address - Phone:910-341-1886
Mailing Address - Fax:910-343-6019
Practice Address - Street 1:1025 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401
Practice Address - Country:US
Practice Address - Phone:910-341-1886
Practice Address - Fax:910-343-6019
Is Sole Proprietor?:No
Enumeration Date:2005-12-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC015322085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7901897Medicaid
NC8901898Medicaid
NCBC7606304OtherDEA
NCBC7606304OtherDEA
NC204307Medicare PIN
NC7901897Medicaid
NC204302Medicare PIN