NPI 1700654407

Detta Connelly, PHLEBOTOMIST

Practitioner Phlebology Physician Gastonia, NC

Practice location

Address: 2348 Kinmere Dr, Gastonia, NC 28056-7812
Phone: (704) 674-4935

Registered specialties

Phlebology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202K00000X Licence 4-6287 (NC)

Other Phlebology providers in North Carolina →

Registry record

NPI: 1700654407
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Dec 2023
Record last updated: 13 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.