JORDAN MCKENZIE GANTOUS

CHARLOTTE, NC
NPI1831985175
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-15178)
Enumeration Date2025-04-15
Last Update Date2025-04-15
Business Address
JORDAN MCKENZIE GANTOUS PA-C
3403 STEEL YARD CT
CHARLOTTE, NC 28205-1262
Phone number: 330-241-8118
Mailing Address
JORDAN MCKENZIE GANTOUS PA-C
3403 STEEL YARD CT
CHARLOTTE, NC 28205-1262
Phone number: