Individual
MICHELLE WILLIAMS COMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
865 W LAKE DR STE 200, MOUNT AIRY, NC 27030-2135
(336) 783-6935
Mailing address
PO BOX 75216, CHARLOTTE, NC 28275-5216
(336) 718-7080
(336) 718-9622
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
101250
NC
363AM0700X
Medical Physician Assistant
Primary
101250
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8101761
—
NC
Enumeration date
03/05/2007
Last updated
08/13/2024
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