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Individual

ANGELA MIKI MCIVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2216 E NC HIGHWAY 54, DURHAM, NC 27713-2208
(919) 350-0365
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-13753
NC
363A00000X
Physician Assistant

Other

Enumeration date
08/30/2023
Last updated
11/22/2023
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