Side Mitchell Mack JR. PA

  • NPI 1740232966
According to our database, the NPI number for Side Mitchell Mack JR. PA is 1740232966 and activated since 17 years ago. Side Mitchell Mack JR. PA is an individual provider who specializes in Physician Assistant, and the primary practice location is 794 S Main St Ste B, Kernersville, NC 27284. You can also contact Side Mitchell Mack JR. PA via telephone number is (336) 904-2317. Provider NPI information was last updated on 08/19/2021.

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Overview of Side Mitchell Mack JR. PA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 05/16/2006
  • Last updated: 08/19/2021

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 1000323
  • License State: NC

Provider Mailing Address

  • Address: Po Box 601843
    Charlotte, NC 28260
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 794 S Main St Ste B
    Kernersville, NC 27284
  • Phone: 336-904-2317
  • Fax: 336-443-6030

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 1000323
  • License State: NC
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 1740232966
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: NC
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Side Mitchell Mack JR. PA?
  • A: The npi number for Side Mitchell Mack JR. PA is 1740232966.
  • Q: What are Side Mitchell Mack JR. PA's specialties?
  • A: Side Mitchell Mack JR. PA's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Side Mitchell Mack JR. PA?
  • A: The medical license number for Side Mitchell Mack JR. PA is 1000323 and issued in NC in USA.
  • Q: Where is Side Mitchell Mack JR. PA practice location?
  • A: Side Mitchell Mack JR. PA is practicing at 794 S Main St Ste B, Kernersville, NC 27284.
  • Q: How to contact Side Mitchell Mack JR. PA?
  • A: You can contact Side Mitchell Mack JR. PA via 336-904-2317.