Individual
CARI SUSANN MAYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
307 E WARDELL DR, PEMBROKE, NC 28372
(910) 521-2816
(910) 521-3583
Mailing address
60 COMMERCE PLAZA CIR, PEMBROKE, NC 28372-7386
(910) 521-2900
(910) 775-9165
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06402
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295180206
BCBS
—
05
—
1295180206
—
NC
Enumeration date
04/27/2016
Last updated
05/22/2018
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