Theresa C. Fogarty, PA-C
NPI #1346237286 in Gastonia, North Carolina
Provider Information
- NPI Number
- 1346237286
- Entity Type
- Individual
- Name
- Theresa C. Fogarty, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Oct 5, 2005
- Last Updated
- Aug 12, 2010
Practice Location
- Address
- 1225 E GARRISON BLVD
- City
- Gastonia
- State
- North Carolina
- ZIP Code
- 28054-5115
- Phone
- (704) 865-7416
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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