Provider Demographics
NPI:1184221186
Name:GOWER, PAIGE MICHELLE (PA)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:MICHELLE
Last Name:GOWER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2216 PINEFIELD CT
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28056-7525
Mailing Address - Country:US
Mailing Address - Phone:704-648-6433
Mailing Address - Fax:
Practice Address - Street 1:417 VANCE ST STE A
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NC
Practice Address - Zip Code:28328-4001
Practice Address - Country:US
Practice Address - Phone:910-592-9993
Practice Address - Fax:910-592-9994
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-03
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant