Provider Demographics
NPI:1811998123
Name:GALL, RALPH CHARLES III (NP)
Entity type:Individual
Prefix:MR
First Name:RALPH
Middle Name:CHARLES
Last Name:GALL
Suffix:III
Gender:M
Credentials:NP
Other - Prefix:MR
Other - First Name:RALPH
Other - Middle Name:CHARLES
Other - Last Name:GALL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:91 OAK HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-8758
Mailing Address - Country:US
Mailing Address - Phone:828-989-4190
Mailing Address - Fax:602-222-2739
Practice Address - Street 1:121 MONTICELLO RD
Practice Address - Street 2:
Practice Address - City:WEAVERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28787-8931
Practice Address - Country:US
Practice Address - Phone:828-298-6350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5004046363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q29701Medicare UPIN
WCHVS100113Medicare ID - Type Unspecified