Provider Demographics
NPI:1679540348
Name:GACCIONE, CRAIG STEPHEN (MD)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:STEPHEN
Last Name:GACCIONE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1701 WESTCHESTER DRIVE
Mailing Address - Street 2:SUITE 850
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7254
Mailing Address - Country:US
Mailing Address - Phone:336-802-2400
Mailing Address - Fax:336-802-2001
Practice Address - Street 1:237 N FAYETTEVILLE ST
Practice Address - Street 2:SUITE A
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-5573
Practice Address - Country:US
Practice Address - Phone:336-626-6371
Practice Address - Fax:336-629-0436
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2009-07-13
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Provider Licenses
StateLicense IDTaxonomies
NC97-00556207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891049FMedicaid
NCG55111Medicare UPIN
NC891049FMedicaid
NC2238234BMedicare PIN