Individual
BROOKE KAY GOSTOMSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
206 JOE V KNOX, SUITE F, MOORESVILLE, NC 28117
(704) 662-6500
(704) 662-6503
Mailing address
PO BOX 1845, STATESVILLE, NC 28687-1845
(704) 873-4277
(999) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-14602
NC
Other
Enumeration date
09/13/2024
Last updated
12/03/2025
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