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Individual

NANCY J ASTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
13539 REESE BLVD W STE B, HUNTERSVILLE, NC 28078-7961
(704) 892-4878
(704) 892-7453
Mailing address
1072 X RAY DR STE B, GASTONIA, NC 28054-7488
(704) 671-1094
(704) 671-1095

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
9400198
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01056
BCBS NC
NC
01
070007019A
RAILROAD MEDICARE
Enumeration date
06/21/2005
Last updated
03/28/2023
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