Individual
KRISTINA GINTAUTIENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
532 WEBB BLVD, HAVELOCK, NC 28532-2042
(252) 447-7088
(252) 447-2752
Mailing address
PO BOX 896206, CHARLOTTE, NC 28289-6206
(252) 447-7088
(252) 447-2752
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34612
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35533
BLUE CROSS
NC
05
—
8935533
—
NC
Enumeration date
08/31/2005
Last updated
03/17/2017
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