Individual
MRS. ATONYA SHEMIAH GIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
212 W BOSTON AVE, BESSEMER CITY, NC 28016-2677
(704) 923-4713
Mailing address
10807 FOUNTAINGROVE DR, CHARLOTTE, NC 28262-6506
(864) 219-0216
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
066593
NC
Other
Enumeration date
03/27/2013
Last updated
11/16/2023
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