Organization
HORMONAL HEALTH AND WELLNESS CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE LOREN GAUNT M.D., PH.D. (PRESIDENT)
(704) 896-1876
Entity
Organization
Contact information
Practice address
16600 BIRKDALE CMNS PKWY, SUITE D, HUNTERSVILLE, NC 28078-6181
(704) 896-1876
(704) 624-3841
Mailing address
16600 BIRKDALE CMNS PKWY, SUITE D, HUNTERSVILLE, NC 28078-6181
(704) 896-1876
(704) 624-3841
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
27047
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27047
NC MEDICAL LICENSE
NC
Enumeration date
03/17/2009
Last updated
03/17/2009
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