Individual
JAMES RYAN SORRELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1617 N MAIN ST STE 101, FUQUAY VARINA, NC 27526-9021
(984) 215-6595
(984) 215-6596
Mailing address
212 THOMPSON STREET, HENDERSONVILLE, NC 28792
(828) 696-1000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-10252
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NNC679A
MEDICARE PTAN
NC
Enumeration date
06/16/2020
Last updated
07/24/2025
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