| Kenneth Raynor Gallup Jr, MD | |
|
100 Chatham Medical Park, Elkin, NC 28621-2445 | |
| (336) 527-7198 | |
| (336) 527-8379 |
| Full Name | Kenneth Raynor Gallup Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Critical Care Medicine |
| Location | 100 Chatham Medical Park, Elkin, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306828538 | NPI | - | NPPES |
| 34396 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0200X | Internal Medicine - Critical Care Medicine | 18642 (North Carolina) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 18642 (North Carolina) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Raynor Gallup Jr, MD 3001 Lyndhurst Ave, Winston Salem, NC 27103 Ph: (336) 765-0383 | Kenneth Raynor Gallup Jr, MD 100 Chatham Medical Park, Elkin, NC 28621-2445 Ph: (336) 527-7198 |
Philip James Iuliano, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 189 Samaritans Ridge Rd, Elkin, NC 28621 Phone: 336-526-3005 Fax: 336-526-3011 | |
Dr. Dennis J Bauman, M.D. Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 380 Parkwood Medical Park, Elkin, NC 28621 Phone: 336-835-9355 Fax: 336-835-8581 | |
Dr. Saiyyed Oomer Aziem, D.O. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Johnson Ridge Medical Park, Elkin, NC 28621 Phone: 336-526-3005 Fax: 336-526-3011 | |
Dr. Jeannette A. Loman, DO Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 Parkwood Drive, Elkin, NC 28621 Phone: 336-527-7463 Fax: 336-527-7189 | |
Paul Hudson Gulley, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Chatham Medical Park, Elkin, NC 28621 Phone: 336-835-3136 Fax: 336-835-6038 | |
Paul Leslie Garrison Jr., MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Chatham Medical Park, Elkin, NC 28621 Phone: 336-835-3136 Fax: 336-835-6038 |