Individual
CAROLINE ANNE SIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
354 COPPERFIELD BLVD NE, CONCORD, NC 28025-2402
(704) 262-4180
(704) 782-8279
Mailing address
4601 PARK RD STE 300, CHARLOTTE, NC 28209-2290
(704) 323-2445
(704) 945-7681
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-14137
NC
363A00000X
Physician Assistant
PA9116701
FL
Other
Enumeration date
11/08/2022
Last updated
04/04/2024
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