Provider Demographics
NPI:1790747723
Name:QUIGG, GARY R (MD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:R
Last Name:QUIGG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10030 GILEAD RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-7545
Mailing Address - Country:US
Mailing Address - Phone:704-316-5600
Mailing Address - Fax:704-316-5613
Practice Address - Street 1:2308 KANNAPOLIS HWY
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-4267
Practice Address - Country:US
Practice Address - Phone:704-795-0044
Practice Address - Fax:704-795-0110
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2007-10-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC23749207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8969734Medicaid
NCC86084Medicare UPIN
NC209765GMedicare PIN