Individual
COURTNEY GREGG SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 E MATTHEWS ST STE 100, MATTHEWS, NC 28105
(704) 847-0572
(704) 849-9760
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2017-02197
NC
Other
Enumeration date
05/28/2012
Last updated
09/20/2023
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