Individual provider · Type 1 NPI

Latoya Gordon Niles, PAC

Physician Assistant · Durham, NC

NPI number 1093882532 Active

Practice location

2511 Old Cornwallis Rd, Suite 200
Durham, NC 27713-1869

Fax (919) 933-6881

Mailing address

237 E Main St
Hendersonville, TN 37075-2549

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X3667 (TN)
Physician Assistant 363A00000X0010-06340 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1093882532

Latoya Gordon Niles, PAC's National Provider Identifier is 1093882532, issued on Nov 29, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Durham, NC. The record was last updated on Jul 12, 2018.