Individual
GRETCHEN BLAIR JOURNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2245 STANTONSBURG RD, SUITE H, GREENVILLE, NC 27834-2868
(252) 413-0036
(252) 413-0038
Mailing address
2245 STANTONSBURG RD, SUITE H, GREENVILLE, NC 27834-2868
(252) 413-0036
(252) 413-0038
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
103051
NC
Other
Enumeration date
06/14/2005
Last updated
07/08/2007
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