Search › North Carolina › 363A00000X
Andrew Gustavson, PA-C
NPI 1306571302 · on the registry since 2022
Practice
- Address
- 3614 Providence Rd S Ste 200
Waxhaw, NC 28173 - Phone
- (704) 384-8640
- Fax
- (704) 384-8650
- Organisation at this address
- Novant Medical Group, Inc
Balasanyan And Balasanyan Pllc
Novant Health Medical Group, Llc
Novant Health Medical Group, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Additional practice sites
- 2682 Court Dr Ste B, Gastonia, NC
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-12-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina