Basic Information
| Provider Information | |||||||||
| NPI: | 1588644157 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALLIGOOD | ||||||||
| FirstName: | GILBERT | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2000 PERIMETER PARK DR STE 200 | ||||||||
| Address2: | |||||||||
| City: | MORRISVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275608442 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9842154110 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7540 MIDDLESEX CORPORATE PKWY | ||||||||
| Address2: | |||||||||
| City: | MIDDLESEX | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275578654 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2522352298 | ||||||||
| FaxNumber: | 2522353362 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/19/2006 | ||||||||
| LastUpdateDate: | 05/04/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/04/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RA0000X | 31424 | NC | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Adolescent Medicine |
ID Information
| ID | Type | State | Issuer | Description | 1476 | 01 | NC | CIGNA | OTHER | 20230 | 01 | NC | MEDCOST | OTHER | 10922 | 01 | NC | BCBS | OTHER | 110083574 | 01 | NC | RAILROAD MEDICARE | OTHER | 8910922 | 05 | NC | MEDICAID |