Individual
BRANDY NORRIS MOUNTCASTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
701 S MAIN ST, LILLINGTON, NC 27546-7681
(910) 514-1152
Mailing address
701 S MAIN ST, LILLINGTON, NC 27546-7681
(910) 984-1152
(910) 984-1171
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02148
NC
Other
Enumeration date
01/21/2010
Last updated
06/27/2021
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