Individual
KELLY J TROGDON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
360 SUNSET AVE, ASHEBORO, NC 27203-5612
(336) 625-8410
(336) 625-8405
Mailing address
360 SUNSET AVE, ASHEBORO, NC 27203-5612
(336) 625-8410
(336) 625-8405
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
103601
NC
Other
Enumeration date
08/09/2005
Last updated
07/08/2007
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