Individual
ALBERT TERRY SIMEONE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3000 NEW BERN AVE STE 1100, RALEIGH, NC 27610-1231
(919) 231-6333
(919) 231-6334
Mailing address
PO BOX 63362, CHARLOTTE, NC 28263-3362
(800) 782-6945
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001005237
NC
363AS0400X
Surgical Physician Assistant
Primary
001005237
NC
Other
Enumeration date
10/29/2014
Last updated
02/11/2019
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