Individual
MRS. TAMELA MARIE RAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
217 S MAIN ST, TROY, NC 27371-3201
(910) 572-1393
Mailing address
1743 SOUTHPOINT LN, BADIN LAKE, NC 28127-9141
(336) 461-3614
(336) 461-3614
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
101695
NC
Other
Enumeration date
03/02/2007
Last updated
01/08/2009
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