Individual
ANITRA NASH PHIFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 E MAIN AVE, GASTONIA, NC 28052
(704) 923-1469
Mailing address
3306 TABLE ROCK DR, GASTONIA, NC 28052-5437
(704) 923-1469
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C51774
NC
Other
Enumeration date
04/15/2019
Last updated
09/28/2025
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