Individual
SHARON ANN MOWREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3333 CLANDON PARK DR, RALEIGH, NC 27613-8841
(919) 630-0775
Mailing address
3333 CLANDON PARK DR, RALEIGH, NC 27613-8841
(919) 630-0775
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
101304
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101304
MEDICAL BOARD NUMBER
NC
Enumeration date
03/28/2007
Last updated
07/08/2007
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