Individual
ALYSSA LEIGH SULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8045 PROVIDENCE RD STE 300, CHARLOTTE, NC 28277-8915
(704) 319-0215
Mailing address
8045 PROVIDENCE RD STE 300, CHARLOTTE, NC 28277-8915
(704) 319-0215
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-09434
NC
Other
Enumeration date
12/16/2019
Last updated
02/17/2025
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