Individual
ALEXA GREGORY ACHOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1917 W PARK DR, NORTH WILKESBORO, NC 28659-3585
(336) 716-2255
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3202
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03917
NC
363AM0700X
Medical Physician Assistant
0010-03917
NC
363AS0400X
Surgical Physician Assistant
0010-03917
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-03917
NORTH CAROLINA MEDICAL BOARD
NC
Enumeration date
11/15/2012
Last updated
02/02/2023
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