Individual
MR. GABRIEL LAMONT OLLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
203 SALISBURY ST, WADESBORO, NC 28170-2155
(704) 694-6700
Mailing address
611 WILDERNESS TRAIL DR, CHARLOTTE, NC 28214-5006
(704) 968-0766
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-10900
NC
Other
Enumeration date
01/10/2021
Last updated
01/10/2021
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