Individual
NINA GONCAROVS QUICKSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
12701 US 70W BUSINESS, CLAYTON, NC 27520-2195
(919) 235-1968
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(919) 350-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2023-02509
NC
207Q00000X
Family Medicine Physician
69598
WI
Other
Enumeration date
05/29/2015
Last updated
11/27/2023
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