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1881467884
SANDY GHANNAM
CHARLOTTE, NC
NPI
1881467884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 001013703)
Enumeration Date
2023-11-01
Last Update Date
2023-11-01
Business Address
SANDY GHANNAM
2001 VAIL AVE
CHARLOTTE, NC 28207-1248
Phone number: 704-304-5000
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Mailing Address
SANDY GHANNAM
7012 WAGGONERS GLEN LN
CHARLOTTE, NC 28226-3195
Phone number:
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