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Individual

MR. HENRY WILSON GILES JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
8800 N TRYON ST, CHARLOTTE, NC 28262-3300
(704) 863-5665
(704) 863-5848
Mailing address
PO BOX 560727, ANESTHESIA DEPARTMENT, CHARLOTTE, NC 28256-0727
(704) 863-5665

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
35036
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
104744
RN LICENSE
NC
01
35036
AANA LICENSE
05
8050675
NC
05
NAN792
SC
Enumeration date
06/15/2006
Last updated
05/22/2008
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