Tamela Marie Raynor P.A.-C

NPI 1205964046 - Physician Assistant - 363AM0700X

NPI Details
NPI 1205964046
Gender Female
Enumeration Date 03/02/2007
Last Updated 01/08/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
217 S MAIN ST
TROY NC, 27371-3201, US
Phone (910) 572-1393
Fax
Business Location
1743 SOUTHPOINT LN
BADIN LAKE NC, 28127-9141, US
Phone (336) 461-3614
Fax (336) 461-3614
Toxanomy
Taxonomy Code 363AM0700X
License State North Carolina
License Number 101695
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According to our database, Mrs. Tamela Marie Raynor P.A.-C NPI is 1205964046, taxonomy code is 363AM0700X and license number is 101695, license state is located at North Carolina. Tamela Marie Raynor P.A.-C physically located at 217 S Main St, Troy NC, 27371-3201. NPI Number Tamela Marie Raynor P.A.-C has the Individual type.

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1205964046 NPI number is provided on an as is basis without warranty of any kind. 1205964046 is maintained by the National Plan & Provider Enumeration System. The contents of Tamela Marie Raynor P.A.-C are for informational purposes only.