Individual
DONNA M AJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
300 MEDICAL PAVILION DR STE 150, RAEFORD, NC 28376-0030
(910) 904-8025
(910) 615-9751
Mailing address
504 BROAD ST, APT A, EMPORIA, VA 23847-1843
(678) 755-5248
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0110002353
VA
363A00000X
Physician Assistant
Primary
0010-00988
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110002353
LICINCE
VA
Enumeration date
09/15/2006
Last updated
05/09/2025
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