Individual
MRS. JESSICA MARIE PINEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
214 CLEVELAND AVE, KINGS MOUNTAIN, NC 28086-3106
(704) 730-1228
(704) 730-1231
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03704
NC
Other
Enumeration date
08/29/2012
Last updated
02/24/2020
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