Individual
EBONI GADSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2815 CATES AVE, RALEIGH, NC 27695-6760
(919) 515-7555
Mailing address
2815 CATES AVE CAMPUS BOX 7304, RALEIGH, NC 27695-0001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-14969
NC
Other
Enumeration date
01/29/2024
Last updated
01/08/2025
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