Provider Demographics
NPI:1356412381
Name:WELCH, GERALD EDWIN II (MD)
Entity type:Individual
Prefix:DR
First Name:GERALD
Middle Name:EDWIN
Last Name:WELCH
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:300 ASHVILLE AVE
Mailing Address - Street 2:SUITE 305
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-8682
Mailing Address - Country:US
Mailing Address - Phone:919-852-1949
Mailing Address - Fax:919-852-1950
Practice Address - Street 1:300 ASHVILLE AVE
Practice Address - Street 2:SUITE 305
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-8682
Practice Address - Country:US
Practice Address - Phone:919-852-1949
Practice Address - Fax:919-852-1950
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3353620OtherAETNA
NC7334366OtherCIGNA
NC126YWOtherBCBS OF NORTH CAROLINA
NC0756345OtherUNITED HEALTHCARE
NC89126YWMedicaid
NC126YWOtherBCBS OF NORTH CAROLINA
NC0756345OtherUNITED HEALTHCARE