Individual
MISS GARYN SCOUT SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
118 GATEWAY BLVD STE A, MOORESVILLE, NC 28117-6542
(704) 230-1302
Mailing address
118 GATEWAY BLVD STE A, MOORESVILLE, NC 28117-6542
(910) 833-0911
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-14387
NC
Other
Enumeration date
01/17/2024
Last updated
09/10/2024
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