Individual
MS. CAROL ANN GANDEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6900 GEORGIA AVE NW, WASHINGTON, DC 20307-0003
(202) 782-6573
(202) 782-6845
Mailing address
3803 37TH ST, MOUNT RAINIER, MD 20712-2112
(301) 277-6377
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C01597
MD
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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