Individual
GUNJAN ANTAAL MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2100 STANTONSBURG RD, VIDANT MEDICAL GROUP, GREENVILLE, NC 27834-2818
(252) 412-6967
Mailing address
2100 STANTONSBURG RD, VIDANT MEDICAL GROUP, GREENVILLE, NC 27834-2818
(252) 412-6967
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
BP10046395
TX
Other
Enumeration date
04/05/2013
Last updated
01/05/2017
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