Individual
ERICA LYNN REALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
129 MCDOWELL ST, ASHEVILLE, NC 28801
(828) 258-8800
(828) 281-7178
Mailing address
3787 SHIPYARD BLVD, WILMINGTON, NC 28403-6148
(910) 332-3800
(910) 763-8804
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001001959
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01048446
RR MEDICARE
—
Enumeration date
09/09/2009
Last updated
06/27/2018
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