Individual
BRETTE MALYN DAVIS GAILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1401 MATTHEWS TOWNSHIP PKWY STE 110, MATTHEWS, NC 28105-5403
(704) 316-3131
(704) 316-3132
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-15179
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/09/2024
Last updated
07/01/2025
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