Janisha Gore, LMBT is a
Massage Therapist based in Shallotte, North Carolina. Janisha Gore is licensed to practice in North Carolina (license number 18531) and her current practice location is
5211 Main St Ste 505, Shallotte, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(910) 269-9516.
NPI number for Janisha Gore is 1952993040 and her current mailing address is 2186 Freedom Star Rd, Longwood, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952993040.
Healthcare Provider's Profile
Full Name | Janisha Gore |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 5211 Main St Ste 505, Shallotte, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952993040
- Provider Enumeration Date: 02/09/2021
- Last Update Date: 02/09/2021
Medical Identifiers
Medical identifiers for Janisha Gore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952993040 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 18531 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Janisha Gore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Janisha Gore, LMBT 2186 Freedom Star Rd, Longwood, NC 28452-9779 Ph: (910) 269-9516 | Janisha Gore, LMBT 5211 Main St Ste 505, Shallotte, NC 28470-3442 Ph: (910) 269-9516 |
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