Individual
MS. CALLAN MARIE FIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3024 NEW BERN AVE STE 304, RALEIGH, NC 27610-1247
(919) 350-7231
Mailing address
3024 NEW BERN AVE STE 304, RALEIGH, NC 27610-1247
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110005395
VA
363AS0400X
Surgical Physician Assistant
Primary
C0006737
MD
Other
Enumeration date
07/05/2016
Last updated
08/21/2021
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