Individual
MS. JULIE ANN CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
24459 SUSSEX HWY, SEAFORD, DE 19973-4433
(302) 629-3099
(302) 629-6059
Mailing address
417 MYRTLE ST, CRISFIELD, MD 21817-1437
(443) 783-4079
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103759
NCCPA CERTIFICATION
—
Enumeration date
01/21/2012
Last updated
01/21/2012
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