Individual
MRS. MARY POPE GANTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
318 TURNERSBURG HWY, STATESVILLE, NC 28625-2798
(704) 878-5300
(704) 878-5311
Mailing address
4551 US HIGHWAY 64 W, MOCKSVILLE, NC 27028-8463
(704) 546-5844
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
122618
NC
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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