Individual
MR. BRANDON WARD SCHOONOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3024 NEW BERN AVE, SUITE 304, RALEIGH, NC 27610-1247
(919) 350-7331
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(877) 498-4490
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001003003
NC
363AS0400X
Surgical Physician Assistant
Primary
0010-03003
NC
Other
Enumeration date
03/02/2007
Last updated
03/17/2024
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