Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fabiola Coromoto Cardozo Gallagher, MD

Individual provider Family Medicine Physician · NPI 1578123956

Fabiola Coromoto Cardozo Gallagher, MD is a Family Practice in Jefferson, North Carolina. Qualified in 2014, 12 years ago. Practices with Ashe Multispecialty Group LLC, an 8-clinician group and accepts Medicare assignment. Licensed in North Carolina and Tennessee.

Years since qualifying
12
Licensed in
NC, TN
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 Hospital Ave
Jefferson, NC 28640-9244
Phone: (336) 846-0805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 322278 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 66558 (TN)

Record details

NPI number1578123956
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2019
Last updated in NPPESAugust 9, 2024
Certification dateAugust 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Ashe Multispecialty Group Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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