Provider Demographics
NPI:1306659925
Name:GAY, CHERYL INELL
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:INELL
Last Name:GAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5931 TRINITY CROSSING CIR
Mailing Address - Street 2:
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28081-9625
Mailing Address - Country:US
Mailing Address - Phone:984-239-4161
Mailing Address - Fax:704-392-1716
Practice Address - Street 1:3240 WILKINSON BLVD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28208-5630
Practice Address - Country:US
Practice Address - Phone:704-392-7131
Practice Address - Fax:704-392-1716
Is Sole Proprietor?:No
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2349156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician