Individual
DR. SHAWNYA AYERS GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1867 REMOUNT RD, SUITE D, GASTONIA, NC 28054-7401
(704) 854-8799
(704) 854-8803
Mailing address
1867 REMOUNT RD, SUITE D, GASTONIA, NC 28054-7401
(704) 854-8799
(704) 854-8803
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9900851
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891225J
—
NC
05
—
N00852
—
SC
Enumeration date
09/27/2005
Last updated
07/14/2011
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