Individual
JILL SUZANNE CALHOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
738 BRYANT ST STE A, STATESVILLE, NC 28677-4189
(704) 873-1189
(704) 873-1116
Mailing address
738 BRYANT ST STE A, STATESVILLE, NC 28677-4189
(704) 873-1189
(704) 873-1116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-00156
NC
Other
Enumeration date
06/27/2006
Last updated
03/29/2021
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