Individual
MRS. TAMIEKA LATRELL ALSTON-GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
169 HALL ST, SPARTANBURG, SC 29302-1523
(864) 358-9278
(564) 308-1167
Mailing address
169 HALL ST, SPARTANBURG, SC 29302-1523
(864) 358-9278
(864) 751-5352
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
19703
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3545
—
SC
Enumeration date
08/26/2015
Last updated
03/27/2023
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