Individual
BRIANNA RAINBOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2242 W ROOSEVELT BLVD, MONROE, NC 28110-3070
(704) 220-1904
Mailing address
2242 W ROOSEVELT BLVD, MONROE, NC 28110-3070
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-09023
NC
Other
Enumeration date
04/22/2019
Last updated
10/04/2023
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