Individual
MISS ELISA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2000
Mailing address
146 MEDICAL PARK RD STE 106, MOORESVILLE, NC 28117-8529
(704) 237-4240
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11096
NC
Other
Enumeration date
02/23/2021
Last updated
08/21/2024
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