Individual
ALEXIA MARIE STANDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1090 NE GATEWAY CT NE STE 204, CONCORD, NC 28025-2423
(704) 403-7020
Mailing address
1090 NE GATEWAY CT NE STE 204, CONCORD, NC 28025-2423
(704) 403-7020
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA063987
PA
363AS0400X
Surgical Physician Assistant
Primary
001014266
NC
Other
Enumeration date
09/22/2022
Last updated
11/19/2024
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