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GAVIN CHRISTOPHER CIANCI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
810 MITCHELL AVE, SALISBURY, NC 28144-6253
(704) 216-5633
(704) 639-0785
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11254
NC
363AM0700X
Medical Physician Assistant
MA061134
PA

Other

Enumeration date
11/22/2019
Last updated
06/14/2021
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