Individual
DEBBIE S IVESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BOC CMF
Contact information
Practice address
3816 S NEW HOPE RD, SUITE 18, GASTONIA, NC 28056-2400
(704) 824-4606
(704) 824-4607
Mailing address
3816 S NEW HOPE RD, SUITE 18, GASTONIA, NC 28056-2400
(704) 824-4606
(704) 824-4607
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C36361
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7702030
—
NC
Enumeration date
01/07/2008
Last updated
01/07/2008
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