Provider Demographics
NPI:1487651535
Name:VASEY, CHARLES GIBBS (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:GIBBS
Last Name:VASEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:127 WAMSUTTA MILL RD STE D
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-5523
Mailing Address - Country:US
Mailing Address - Phone:828-430-3511
Mailing Address - Fax:828-368-4303
Practice Address - Street 1:127 WAMSUTTA MILL RD STE D
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-5523
Practice Address - Country:US
Practice Address - Phone:828-430-3511
Practice Address - Fax:828-368-4303
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC30505207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1487651535Medicaid
NCP02527325OtherRAILROAD MEDICARE
NCNN3664E154OtherMEDICARE
NC8984796Medicaid