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1124029707
GREGORY ALLEN MANTOOTH
CHARLOTTE, NC
NPI
1124029707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208200000X Plastic Surgery
(Licence: NC 200101091)
Enumeration Date
2005-08-09
Last Update Date
2020-06-23
Business Address
GREGORY ALLEN MANTOOTH M.D.
5815 BLAKENEY PARK DR STE 100
CHARLOTTE, NC 28277-5732
Phone number: 704-542-2220
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Mailing Address
GREGORY ALLEN MANTOOTH M.D.
1072 X RAY DR STE B
GASTONIA, NC 28054-7488
Phone number: 704-671-1094
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