Individual
AUDRIANA K. WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
702 NEWMAN RD, NEW BERN, NC 28562-5238
(252) 633-5333
(252) 633-9443
Mailing address
702 NEWMAN RD, NEW BERN, NC 28562-5238
(252) 633-5333
(252) 633-9443
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06955
NC
Other
Enumeration date
12/14/2016
Last updated
01/09/2017
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