Provider Demographics
NPI:1285618397
Name:MAULDIN, GARY E (MD)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:E
Last Name:MAULDIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:76 PEACHTREE ROAD
Mailing Address - Street 2:STE. 300
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-3505
Mailing Address - Country:US
Mailing Address - Phone:828-274-3477
Mailing Address - Fax:828-274-7407
Practice Address - Street 1:59 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-2732
Practice Address - Country:US
Practice Address - Phone:334-386-2053
Practice Address - Fax:334-344-1830
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC38133207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8955029Medicaid
NCC71488Medicare UPIN
NC2141417AMedicare ID - Type Unspecified