Individual
TAMMY GANTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRT
Contact information
Practice address
45 BUCKINGHAM DR, FRANKLINTON, NC 27525-8042
(919) 602-3303
Mailing address
45 BUCKINGHAM DR, FRANKLINTON, NC 27525-8042
(919) 602-3303
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
A4707
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012AG
BCBS OF NC
NC
01
—
561924070
TAX ID
NC
Enumeration date
10/30/2007
Last updated
09/26/2011
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