Provider Demographics
NPI:1053350587
Name:GABY, NANCY S (MD)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:S
Last Name:GABY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 BETHESDA PLACE
Mailing Address - Street 2:STE 101
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103
Mailing Address - Country:US
Mailing Address - Phone:336-765-9750
Mailing Address - Fax:336-765-9710
Practice Address - Street 1:3000 BETHESDA PLACE
Practice Address - Street 2:STE 101
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103
Practice Address - Country:US
Practice Address - Phone:336-765-9750
Practice Address - Fax:336-765-9710
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC246532084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8934253Medicaid
206478CMedicare ID - Type Unspecified
C8934Medicare UPIN