Individual
CARLA HUPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 815-5830
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102813
NC
Other
Enumeration date
01/20/2006
Last updated
05/27/2021
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