Whalio Doctors

NPI 1053717660

Tatjana Misunina, PAC

Practitioner Surgical Physician Assistant Gastonia, NC

Practice location

Address
2525 Court Dr STE 200, Gastonia, NC 28054-2140
Phone
(410) 245-5367
Mailing address
PO Box 744786, Atlanta, GA 30374-4786

Registered specialties (2)

Surgical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 0010-06802 (NC)
Surgical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence C05529 (MD)

Registry record

NPI
1053717660
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 Nov 2014
Record last updated
3 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.