Gatewood, Tina Smith

Gatewood, Tina Smith is an individual health care provider with primary practice located at 705 Main St , Danville VA 24541-1803. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gatewood, Tina Smith can be contacted via phone (434) 791-4123.

Contact Information

Primary practice address
705 Main St Danville VA 24541-1803
Fax: (434) 791-4126
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 102123 North Carolina

Profile Details

NPI number 1043448871
LBN Legal business name Gatewood, Tina Smith
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2009
Last updated Jun 10th, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043448871 NPPES
Other 1021947 NCCPA
Other 910785 NCCPA

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