Oliver, Shantial Latoya

Oliver, Shantial Latoya is an individual health care provider with primary practice located at 2391 Court Dr Ste 120B , Gastonia NC 28054-2196. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Oliver, Shantial Latoya can be contacted via phone (704) 874-0095.

Contact Information

Primary practice address
2391 Court Dr Ste 120B Gastonia NC 28054-2196
Phone: (704) 874-0095
Fax: (704) 866-8680
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0010-05806 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1568847564
LBN Legal business name Oliver, Shantial Latoya
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2015
Last updated Feb 15th, 2023 - about 3 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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