Individual
DR. MICAH JAMES PHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4414 LAKE BOONE TRL STE 505, RALEIGH, NC 27607-7521
(919) 784-2300
(919) 784-2301
Mailing address
4414 LAKE BOONE TRL STE 505, RALEIGH, NC 27607-7521
(919) 784-2300
(919) 784-2301
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2021-01169
NC
2086S0129X
Vascular Surgery Physician
2021-01169
NC
Other
Enumeration date
05/14/2014
Last updated
08/20/2021
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