Vicki Lynn Mccormack PA C

NPI 1780872028 - Physician Assistant - 363A00000X

NPI Details
NPI 1780872028
Gender Female
Enumeration Date 10/11/2007
Last Updated 03/09/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
407 LIVE OAK ST
SUITE 1
BEAUFORT NC, 28516-1944, US
Phone (252) 728-2328
Fax (252) 728-2628
Business Location
407 LIVE OAK ST
SUITE 1
BEAUFORT NC, 28516-1944, US
Phone (252) 728-2328
Fax (252) 728-2628
Toxanomy
Taxonomy Code 363A00000X
License State North Carolina
License Number 0010-00907
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According to our database, Mrs. Vicki Lynn Mccormack PA C NPI is 1780872028, taxonomy code is 363A00000X and license number is 0010-00907, license state is located at North Carolina. Vicki Lynn Mccormack PA C physically located at 407 Live Oak St, Beaufort NC, 28516-1944. NPI Number Vicki Lynn Mccormack PA C has the Individual type.

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1780872028 NPI number is provided on an as is basis without warranty of any kind. 1780872028 is maintained by the National Plan & Provider Enumeration System. The contents of Vicki Lynn Mccormack PA C are for informational purposes only.