THERESA C. FOGARTY

GASTONIA, NC
NPI1346237286
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  101807)
Enumeration Date2005-10-05
Last Update Date2010-08-12
Business Address
THERESA C. FOGARTY PA-C
1225 E GARRISON BLVD
GASTONIA, NC 28054-5115
Phone number: 704-865-7416
Mailing Address
THERESA C. FOGARTY PA-C
1225 E GARRISON BLVD
GASTONIA, NC 28054-5115
Phone number: 704-865-7416
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