Alston-Gibson, Tamieka Latrell
Alston-Gibson, Tamieka Latrell is an sole proprietor health care provider with primary practice located at 169 Hall St , Spartanburg SC 29302-1523. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Alston-Gibson, Tamieka Latrell can be contacted via phone (864) 358-9278.Contact Information
Primary practice address
169 Hall St
Spartanburg SC 29302-1523
Phone: (864) 358-9278
Fax: (564) 308-1167
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 19703 | South Carolina |
Profile Details
| NPI number | 1902273808 |
|---|---|
| LBN Legal business name | Alston-Gibson, Tamieka Latrell |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 26th, 2015 |
| Last updated | Mar 27th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902273808 | NPPES |
| South Carolina | MEDICAID | NP3545 |
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