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Individual

DR. JOHN RONALD VAN GURP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3111 SPRINGBANK LN, SUITE J, CHARLOTTE, NC 28226-3372
(704) 541-6001
(704) 541-1563
Mailing address
3111 SPRINGBANK LN, SUITE J, CHARLOTTE, NC 28226-3372
(704) 541-6001
(704) 541-1563

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
34488
NC
207NS0135X
Procedural Dermatology Physician
Primary
34488
NC

Other

Enumeration date
10/25/2006
Last updated
09/11/2025
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