LISA D GANTT

GREENVILLE, SC
NPI1487636643
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: SC  A764)
Enumeration Date2005-11-15
Last Update Date2014-01-31
Business Address
-- LISA D GANTT ANP
200 PATEWOOD DR STE B200
GREENVILLE, SC 29615-6321
Phone number: 864-232-7338
Mailing Address
-- LISA D GANTT ANP
PO BOX 8676
GREENVILLE, SC 29604-8676
Phone number: 864-232-7338
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