Individual
COURTNEY LYNNE MANDEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(984) 974-4721
Mailing address
6600 MANOR HILL CT, CHAPEL HILL, NC 27516-8135
(704) 649-7313
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/23/2019
Last updated
03/30/2021
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