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Individual

MRS. CAROLYN NAMDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1130 SITUS CT, STE 190, RALEIGH, NC 27606-3391
(919) 792-3940
Mailing address
1130 SITUS CT, STE 190, RALEIGH, NC 27606-3391

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
258185
NC
363A00000X
Physician Assistant
Primary
0010-06717
NC

Other

Enumeration date
09/12/2016
Last updated
02/26/2017
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