Individual
MARGARET GWYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN,M.ED. RN
Contact information
Practice address
5106 FIDDLERS RD, EMPORIA, VA 23847-7214
(919) 417-4928
(434) 336-1123
Mailing address
5106 FIDDLERS RD, EMPORIA, VA 23847-7214
(919) 417-4928
(434) 336-1123
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
055347
NC
163WG0000X
General Practice Registered Nurse
055347
NC
Other
Enumeration date
03/22/2011
Last updated
03/22/2011
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