Individual
COURTNEY GABRIELLE WISMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 CHURCH ST N, CONCORD, NC 28025-2927
(704) 403-3000
Mailing address
4605 SARANDON CT, CHARLOTTE, NC 28215-9700
(540) 645-8480
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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