Individual
DR. JAIME J VANOURNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
959 COX RD, GASTONIA, NC 28054-3420
(704) 866-7576
(704) 866-0106
Mailing address
1072 X RAY DR, GASTONIA, NC 28054-7488
(704) 671-1094
(704) 671-1095
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
201101796
NC
207N00000X
Dermatology Physician
R8536
IA
Other
Enumeration date
06/26/2008
Last updated
08/28/2023
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