Individual
ALYSSA MICHELLE ALLWARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
250 W KINGS HWY, EDEN, NC 27288-5010
(336) 623-5171
Mailing address
PO BOX 451, MAYODAN, NC 27027-0451
(989) 640-7203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-05929
NC
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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