Individual
MARK GINGRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
2219 E 7TH ST, CHARLOTTE, NC 28204-3339
(704) 377-7099
Mailing address
2219 E 7TH ST, CHARLOTTE, NC 28204-3339
(704) 377-7099
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
07/09/2018
Last updated
11/08/2018
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