Individual
COURTNEY LAJUAN CARMICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
109 PUGH ST, MARTIN, SD 57551-7700
(605) 685-6868
Mailing address
109 PUGH ST, MARTIN, SD 57551-7700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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