Surgery Yellow Pages

General, Orthopedic, Thoracic, Vascular Surgery
Plastic, Cosmetic, Oral, Podiatric Surgery

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GREGORY ALLEN MANTOOTH M.D.

Surgery Yellow Pages

Charlotte, North Carolina

Provider NPI: 1124029707

Provider Information:
 GREGORY ALLEN MANTOOTH M.D.


Practice Location:
5815 BLAKENEY PARK DR STE 100  CHARLOTTE, NC 28277 US
Tel: 704-542-2220  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208200000XPhysicians
Plastic Surgery
NC200101091

Other Provider Identifiers:

IssuerNumberStateType
8912965NC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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