Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 2019-00221 | NC |
N | 207VG0400X | Gynecologist | 2019-00221 | NC |
N | 207VX0000X | Obstetrician | 2019-00221 | NC |
NPI | 1053308072 |
---|---|
Provider Name | Dr. William Edward Gist |
First Address | Asheville, NC 28803-2868 |
Second Address | Asheville, NC 28803-2868 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2005 |
Last Update Date | 13/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1053308072 | (05) | NC |
F25431 | (02) | TN |
NN6202A | MEDICARE (01) | ND |