Individual
DOMINIC EDWARD AGRESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
340 JAKE ALEXANDER BLVD W, STE 105, SALISBURY, NC 28147-1364
(704) 403-6240
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-01450
NC
Other
Enumeration date
08/21/2008
Last updated
07/15/2024
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