Individual
CELESTE CHANTEL WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2555 COURT DR STE 200, GASTONIA, NC 28054-2178
(704) 671-7025
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5019961
NC
Other
Enumeration date
04/29/2024
Last updated
08/01/2024
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