Individual
MR. GANNON NEIL MILLSAPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
9800 KINCEY AVE STE 150, HUNTERSVILLE, NC 28078-8405
(704) 799-4909
(704) 799-7695
Mailing address
3158 FREEDOM DR STE 3102, CHARLOTTE, NC 28208-0014
(704) 971-7099
(704) 971-0035
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-15866
NC
Other
Enumeration date
09/14/2024
Last updated
01/02/2026
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