Individual
DR. ANYA-FAYE ROA PACLEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2555 COURT DR, GASTONIA, NC 28054-2134
(704) 834-2000
Mailing address
2555 COURT DR, GASTONIA, NC 28054-2134
(704) 834-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2024-02327
NC
207R00000X
Internal Medicine Physician
OS020259
PA
207R00000X
Internal Medicine Physician
OT018707
PA
390200000X
Student in an Organized Health Care Education/Training Program
OT018707
PA
Other
Enumeration date
06/14/2018
Last updated
08/15/2024
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