Individual
GREGORY ALLEN MANTOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
937 COX RD, GASTONIA, NC 28054-3455
(704) 898-8014
(704) 898-8018
Mailing address
1072 X RAY DR STE B, GASTONIA, NC 28054-7488
(704) 671-1094
(704) 671-1095
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
200101091
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8912965
—
NC
Enumeration date
08/09/2005
Last updated
04/30/2026
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