TEDDIE WAYNE GORE

GREENVILLE, NC
NPI1255566154
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NC  5004377)
Enumeration Date2009-05-20
Last Update Date2009-05-20
Business Address
Mr. TEDDIE WAYNE GORE FNP
2100 STANTONSBURG ROAD ECHI AT PCMH
GREENVILLE, NC 27835
Phone number: 252-847-2181
Mailing Address
Mr. TEDDIE WAYNE GORE FNP
PO BOX 8423
GREENVILLE, NC 27835-8423
Phone number: 252-847-2181
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