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Individual

JUNE ANNE FAWCETT-HARDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1122 RANDOLPH ST STE 110, THOMASVILLE, NC 27360-5730
(336) 481-0739
(336) 481-0738
Mailing address
PO BOX 601843, CHARLOTTE, NC 28260-1843

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5006997
NC
363LF0000X
Family Nurse Practitioner
5006997
NC

Other

Enumeration date
07/16/2014
Last updated
05/01/2023
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