Provider Demographics
NPI:1821761552
Name:MOTSAY, GINA
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:
Last Name:MOTSAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:334 GREEN VIEW RD
Mailing Address - Street 2:
Mailing Address - City:MOYOCK
Mailing Address - State:NC
Mailing Address - Zip Code:27958-9214
Mailing Address - Country:US
Mailing Address - Phone:607-283-3826
Mailing Address - Fax:
Practice Address - Street 1:334 GREEN VIEW RD
Practice Address - Street 2:
Practice Address - City:MOYOCK
Practice Address - State:NC
Practice Address - Zip Code:27958-9214
Practice Address - Country:US
Practice Address - Phone:607-283-3826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN