Individual
EMILY C. GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 BLYTHE BLVD FL 4, CHARLOTTE, NC 28203
(704) 973-5500
Mailing address
PO BOX 30637, CHARLOTTE, NC 28230-0637
(704) 973-5500
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2012-02256
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2012-02256
MEDICAL BOARD
NC
01
—
35480
MEDICAL BOARD
SC
Enumeration date
02/17/2007
Last updated
07/02/2018
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