Organization Name: | HORMONAL HEALTH AND WELLNESS CENTER, P.A. |
NPI Number: | 1548401888 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEORGE LOREN GAUNT (PRESIDENT) |
Mailing Address: | 16600 Birkdale Cmns Pkwy Suite D Huntersville |
State: | NC US |
Postal Code: | 280786181 |
Phone Number: | 7048961876 |
Fax Number: | 7046243841 |
NPI Enumeration Date: | 03/17/2009 |
NPI Last Update Date: | 03/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 27047 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |