Provider Demographics
NPI:1992726723
Name:GALLEMORE, WARREN G (MD)
Entity type:Individual
Prefix:
First Name:WARREN
Middle Name:G
Last Name:GALLEMORE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1701 WESTCHESTER DRIVE
Mailing Address - Street 2:SUITE 850
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7254
Mailing Address - Country:US
Mailing Address - Phone:336-802-2400
Mailing Address - Fax:336-802-2001
Practice Address - Street 1:810 N LINDSAY ST
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-3902
Practice Address - Country:US
Practice Address - Phone:336-802-2060
Practice Address - Fax:336-802-2061
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2009-07-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC22721207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8934388Medicaid
NC110122231OtherRR MEDICARE
NC110122231OtherRR MEDICARE
C83954Medicare UPIN