Individual
CHARON N GANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5401 OLD YORK RD, WILLOWCREST 4TH FLOOR, PHILADELPHIA, PA 19141-3030
(215) 456-7000
(215) 254-2599
Mailing address
101 E OLNEY AVE, SUITE 400, PHILADELPHIA, PA 19120-2421
(215) 456-7000
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
PA
Other
Enumeration date
09/19/2008
Last updated
09/19/2008
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