IndividualActive
Detta Connelly, PHLEBOTOMIST
NPI 1700654407 · Phlebology Physician · Gastonia, NC
Provider details
- NPI number
- 1700654407
- Entity type
- Individual
- Primary specialty
- Phlebology PhysicianAllopathic & Osteopathic Physicians
- Credential
- PHLEBOTOMIST
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4-6287 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2348 Kinmere Dr
Gastonia, NC 28056-7812
Phone: (704) 674-4935
Approximate (ZIP-level) locationGet directions
Mailing address
2348 Kinmere Dr
Gastonia, NC 28056-7812
Registry dates
- Enumerated
- 2023-12-13
- Last updated
- 2023-12-13
- Certified
- 2023-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.