Individual
AMY E GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10 PAGE DR, PINEHURST, NC 28374-8848
(910) 295-6868
(910) 295-8780
Mailing address
101 DENNIS DR, SANFORD, NC 27330-6343
(919) 267-3125
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-01623
NC
Other
Enumeration date
01/12/2009
Last updated
11/28/2023
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