Individual
MR. JOHN ARTHUR GANTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2046 CREEKSIDE LANDING DR, APEX, NC 27502-3982
(919) 303-4777
(919) 303-0077
Mailing address
23095 DUCK POND CIRCLE, MORRISVILLE, NC 27560
(919) 303-4777
(919) 303-0077
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-03770
NC
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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