Doctor Name: | MS. CHARLOTTE ANNE GOTT |
NPI Number: | 1043303795 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | F.N.P. |
License Number: | 2687 |
Business Practice Address: | 980 Colleton Meadow Dr Clover, SC - 297108478 |
Business Phone Number: | 7046169747 |
Business Fax Number: | |
Mailing Address: | 980 Colleton Meadow Dr, CLOVER |
State: | SC |
Postal Code: | 297108478 |
Phone Number: | 7046169747 |
Fax Number: | |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 02/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 2687 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |