Individual provider · Type 1 NPI
Tatjana Misunina, PA-C
Surgical Physician Assistant · Gastonia, NC
NPI number
1053717660
Active
Practice location
2525 Court Dr Ste 200
Gastonia, NC 28054-2140
Mailing address
PO Box 744786
Atlanta, GA 30374-4786
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | C05529 (MD) |
| Surgical Physician Assistant Primary | 363AS0400X | 0010-06802 (NC) |
Surgical Physician Assistant: Definition to come...
Other surgical physician assistant providers in Gastonia
About NPI 1053717660
Tatjana Misunina, PA-C's National Provider Identifier is 1053717660, issued on Nov 10, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Gastonia, NC. The record was last updated on Apr 3, 2023.