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Individual

TERESA GAYLE MCCORMICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14215 BALLANTYNE CORPORATE PL STE 210, CHARLOTTE, NC 28277-3873
(704) 316-2650
Mailing address
5025 AIRPORT CENTER PKWY BLDG L, CHARLOTTE, NC 28208-5885
(704) 512-7105

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
104378
NC

Other

Enumeration date
03/09/2006
Last updated
10/28/2020
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