Individual
GEORGE ANTHONY MARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1507 N ROAD ST, SUITE 2, ELIZABETH CITY, NC 27909-3282
(252) 333-1149
(252) 338-6503
Mailing address
1507 N ROAD ST, SUITE 2, ELIZABETH CITY, NC 27909-3282
(252) 333-1149
(252) 338-6503
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
103992
NC
Other
Enumeration date
06/26/2006
Last updated
07/08/2007
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