Most Relevant Information
Provider Data
| NPI Number: | 1003055088 |
| Provider Name: | TANEISHA LATOYA BARNETT PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 0010-01441 |
Most Important Dates
| Enumeration Date: | 02/13/2009 |
| Last Updated: | 05/04/2012 |
Provider Practice Location
2664 COURT DR
SUITE A
GASTONIA
NC
280541449
Practice Location Phone/Fax
| Phone: | 7048619030 |
| Fax: | 7048331234 |
Provider Mailing Location
2664 COURT DR
SUITE A
GASTONIA
NC
280541449
Provider Mailing Phone/Fax
| Phone: | 7048619030 |
| Fax: | 7048331234 |