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NPI Code Detail

MEDICARE: CHERYL INELL GAY

MEDICARE: CHERYL INELL GAY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1156FX1800XOptician2349NC

General Provider Information

NPI Number : 1306659925
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL INELL GAY
Provider Business Mailing Address
First Line : 5931 TRINITY CROSSING CIR
Second Line :
City : KANNAPOLIS
State : NC
Zip : 28081-9625
Country : US
Telephone Number : 984-239-4161
Fax Number : 704-392-1716
Provider Business Practice Location Address
First Line : 3240 WILKINSON BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28208-5630
Country : US
Telephone Number : 704-392-7131
Fax Number : 704-392-1716
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2025
Last Update Date : 01/28/2025

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Directions to “ CHERYL INELL GAY ” Practice Location

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