Individual
OLIVIA MARIE GAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2920 FORESTVILLE RD STE 100, RALEIGH, NC 27616-8774
(860) 882-7525
Mailing address
1755 8TH STREET DR NE APT D, HICKORY, NC 28601-2341
(919) 771-4547
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-11385
NC
363AM0700X
Medical Physician Assistant
Primary
0010-11385
NC
Other
Enumeration date
06/08/2020
Last updated
12/01/2025
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