Dr Jennifer L Gallub, MD | |
418 S King St, Laurinburg, NC 28352-3704 | |
(910) 276-7570 | |
(910) 276-1327 |
Full Name | Dr Jennifer L Gallub |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 418 S King St, Laurinburg, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700085578 | NPI | - | NPPES |
5910676 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2008-01612 (North Carolina) | Primary |
Entity Name | North Shore-lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
---|---|
Dr Jennifer L Gallub, MD 418 S King St, Laurinburg, NC 28352-3704 Ph: (910) 276-7570 | Dr Jennifer L Gallub, MD 418 S King St, Laurinburg, NC 28352-3704 Ph: (910) 276-7570 |
Dr. Michael Patrick O'donnell, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 418 S King St, Laurinburg, NC 28352 Phone: 910-276-7570 Fax: 910-276-1327 | |
Dr. Tharon Currin Howard, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 418 S King St, Laurinburg, NC 28352 Phone: 910-276-7570 Fax: 910-276-1327 | |
Dr. Frederick H Mabry Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 418 S King St, Laurinburg, NC 28352 Phone: 910-276-7570 Fax: 910-276-1327 |