Individual
DR. JEANNINE LOUISE GINGRAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6207 PARK SOUTH DR, SUITE 101, CHARLOTTE, NC 28210-3267
(704) 944-0562
(704) 944-0563
Mailing address
6207 PARK SOUTH DR, SUITE 101, CHARLOTTE, NC 28210-3267
(704) 944-0562
(704) 944-0563
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
27192
NC
2080S0012X
Pediatric Sleep Medicine Physician
27192
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51322
BCBS
NC
05
—
8951322
—
NC
05
—
N27192
—
SC
01
—
P00919755
RAILROAD MEDICARE
NC
Enumeration date
04/11/2006
Last updated
08/11/2011
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