| Mr Andrew Kirby Gustavson, PA-C | |
|
3614 Providence Rd S Ste 200, Waxhaw, NC 28173-6310 | |
| (704) 384-8640 | |
| (704) 384-8650 |
| Full Name | Mr Andrew Kirby Gustavson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 3614 Providence Rd S Ste 200, Waxhaw, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306571302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-12435 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Andrew Kirby Gustavson, PA-C Po Box 60447, Charlotte, NC 28260-0447 Ph: () - | Mr Andrew Kirby Gustavson, PA-C 3614 Providence Rd S Ste 200, Waxhaw, NC 28173-6310 Ph: (704) 384-8640 |
Nikki Torres, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1029 Brunswick Way, Waxhaw, NC 28173 Phone: 704-840-9793 | |
Derek Whalen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1621 Providence Rd S Ste 370, Waxhaw, NC 28173 Phone: 704-520-7089 Fax: 704-520-7099 | |
Kimberly Renee Gordon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9929 Rea Rd Ste 201, Waxhaw, NC 28173 Phone: 704-316-1650 Fax: 704-316-1651 | |
Jennifer Lynn Gonzales, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2700 S Providence Rd, Ste 300, Waxhaw, NC 28173 Phone: 704-243-2254 | |
Mary Ashley, Physician Assistant Medicare: Medicare Enrolled Practice Location: 8523 Chilcomb Ct, Waxhaw, NC 28173 Phone: 980-309-9689 | |
Arianna Moazzami, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9018 New Town Rd, Waxhaw, NC 28173 Phone: 704-572-0516 |