Individual
DR. ANGELA BRAWLEY GANTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3024 NEW BERN AVE, RALEIGH, NC 27610-1247
(919) 350-7844
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
200200526
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073601472
—
NC
05
—
891319R
—
NC
Enumeration date
10/11/2006
Last updated
12/27/2023
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