DALLAS BANNER

CHARLOTTE, NC
NPI1033763537
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NC  5012314)
Enumeration Date2019-08-01
Last Update Date2020-09-25
Business Address
DALLAS BANNER NP
1023 EDGEHILL RD S
CHARLOTTE, NC 28207-1829
Phone number: 704-355-8686
Mailing Address
DALLAS BANNER NP
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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