Individual
CHARITY ELIZABETH DOLPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
300 S STERLING ST, MORGANTON, NC 28655-3569
(828) 438-9004
(828) 430-8197
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03721
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NCC062A
MEDICARE PTAN
NC
Enumeration date
10/07/2010
Last updated
08/31/2020
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