Individual
ANNA MARIE MANTEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2630 E 7TH ST, CHARLOTTE, NC 28204-4318
(704) 355-9484
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102299
NC
Other
Enumeration date
10/05/2006
Last updated
12/10/2021
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