1902152614 NPI number — MRS. ANGELA GALLO WILKINSON RD, LDN

Table of content: MRS. ANGELA GALLO WILKINSON RD, LDN (NPI 1902152614)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902152614 NPI number — MRS. ANGELA GALLO WILKINSON RD, LDN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WILKINSON
Provider First Name:
ANGELA
Provider Middle Name:
GALLO
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RD, LDN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1902152614
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/28/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8642 TOSOMOCK LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUNTERSVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28078-6719
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-591-3333
Provider Business Mailing Address Fax Number:
704-496-2015

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8642 TOSOMOCK LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUNTERSVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28078-6719
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-591-3333
Provider Business Practice Location Address Fax Number:
704-496-2015
Provider Enumeration Date:
07/31/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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