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Tamieka Latrell Alston-Gibson, FNP

Nurse Practitioner, Primary Care in Spartanburg, SC. Individual provider (NPI-1).

NPI number1902273808
StatusActive
Last updated in NPPESMar 27, 2023

Details

NPI
1902273808
Entity type
Individual (NPI-1)
Name
Mrs. Tamieka Latrell Alston-Gibson
Credential
FNP
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 26, 2015
Certification date
Mar 27, 2023
Last updated
Mar 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP2300X Nurse Practitioner, Primary Care19703SCYes

Practice location

169 Hall St
Spartanburg, SC 29302-1523

Phone 864-358-9278 · Fax 564-308-1167

Mailing address

169 Hall St
Spartanburg, SC 29302-1523

Phone 864-358-9278 · Fax 864-751-5352

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