is a Physician Assistant in Gastonia, North Carolina. practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for is 1932366028. The last update date is .
's current location address is 200 E 2nd Ave, Gastonia, North Carolina. You can contact this provider via phone number 7048741904 and fax number 7048672134. The mailing address for is 200 E 2nd Ave, Gastonia, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 200 E 2nd Ave, Gastonia, North Carolina |
Phone Number | 7048741904 |
Fax Number | 7048672134 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1932366028 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 200 E 2nd Ave |
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City | Gastonia |
State | North Carolina (NC) |
Post Code | 280524358 |
Phone Number | 7048741904 |
Fax Number | 7048672134 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 0010-01294 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1932366028 | NC | -- |
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