Individual
ANGELA GARDNER THATCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
525 S WHITE ST, WAKE FOREST, NC 27587-2920
(919) 435-2154
(888) 355-2154
Mailing address
525 S WHITE ST, WAKE FOREST, NC 27587-2920
(919) 435-2154
(888) 355-2154
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07039
NC
Other
Enumeration date
02/07/2017
Last updated
05/16/2023
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