MARIALICE WAGNER GULLEDGE

CHARLOTTE, NC
NPI1770675027
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NC  5002198)
Enumeration Date2006-09-28
Last Update Date2024-07-15
Business Address
MARIALICE WAGNER GULLEDGE NP
1350 S KINGS DR
CHARLOTTE, NC 28207-2134
Phone number: 704-446-1255
Mailing Address
MARIALICE WAGNER GULLEDGE NP
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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