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Individual
MRS. MACY ABIGAIL ORDWAY
Active
Individual
MRS. MACY ABIGAIL ORDWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-05560
NC
363A00000X
Physician Assistant
Primary
018613
NY
Other
Enumeration date
02/06/2015
Last updated
11/12/2019
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