Individual
COURTNEY RENEE DELAVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 847-4100
(252) 847-8169
Mailing address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 847-5473
(252) 847-6255
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11684
NC
363A00000X
Physician Assistant
MA060138
PA
Other
Enumeration date
10/01/2018
Last updated
09/22/2024
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