Individual
SIMRAN DHALIWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-4000
Mailing address
821 RIM RD, FAYETTEVILLE, NC 28314-6502
(480) 296-8515
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0010-11014
NC
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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