DR. CHARLES MICHAEL GAMMON M.D. PH.D. NPI 1720126642

NPI Information

NPI: 1720126642
Provider Name: DR. CHARLES MICHAEL GAMMON, M.D., PH.D.
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

Address:
3725 NATIONAL DR
SUITE 227
RALEIGH, NC
ZIP 27612
Phone: (919) 781-7811
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DR. Charles Michael Gammon, M.D., PH.D. is a child and adolescent psychiatry psychiatry neurology in Raleigh, NC. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. Charles Michael Gammon, M.D., PH.D. NPI is 1720126642. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3725 NATIONAL DR
SUITE 227
RALEIGH, NC
ZIP 27612-066
Phone: (919) 781-7811
Fax: (919) 786-1337

The enumeration date for this NPI number is 2/2/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	95-00073	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	223-4155	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA
2	G47327	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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