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Individual

MR. MARK WAYNE GREGSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
401 W DECATUR ST, MADISON, NC 27025-1913
(336) 548-9618
(336) 584-4877
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
271678
NC
363L00000X
Nurse Practitioner
5016397
NC
363LF0000X
Family Nurse Practitioner
Primary
5016397
NC

Other

Enumeration date
06/17/2022
Last updated
07/18/2025
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