Individual
MIN GONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2905 QUEEN CITY DR, CHARLOTTE, NC 28208-2756
(706) 589-7417
Mailing address
2905 QUEEN CITY DR, CHARLOTTE, NC 28208-2756
(706) 589-7417
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5022887
NC
Other
Enumeration date
05/08/2025
Last updated
10/02/2025
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