Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 9700857 | NC |
Y | 208600000X | Surgeon | 9700857 | NC |
NPI | 1023098324 |
---|---|
Provider Name | Dr. Gregory Gerard Bebb |
First Address | Wilmington, NC 28401-7505 |
Second Address | Wilmington, NC 28401-7505 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2006 |
Last Update Date | 03/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8910838 | (05) | NC |
F84635 | (02) |