Individual
GINA MARIE MENIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 S 3RD ST STE C, SMITHFIELD, NC 27577-4575
(919) 938-4040
Mailing address
2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC 27560-8442
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-09589
NC
363A00000X
Physician Assistant
53750
CA
Other
Enumeration date
10/05/2016
Last updated
05/11/2021
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