Basic Information
| Provider Information | |||||||||
| NPI: | 1528328572 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TOPPIN | ||||||||
| FirstName: | GARY | ||||||||
| MiddleName: | MCCOY | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 800 MISSISSIPPI AVE | ||||||||
| Address2: | |||||||||
| City: | KURE BEACH | ||||||||
| State: | NC | ||||||||
| PostalCode: | 284494817 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9193455159 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2460 CURTIS ELLIS DR | ||||||||
| Address2: | NASH GENERAL HOSPITAL ER | ||||||||
| City: | ROCKY MOUNT | ||||||||
| State: | NC | ||||||||
| PostalCode: | 278042237 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2529628000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/24/2012 | ||||||||
| LastUpdateDate: | 05/24/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AM0700X | 0010-03438 | NC | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical |
No ID Information.