Individual
MRS. KATHERINE MCCOY MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
10880 DURANT RD, SUITE 124, RALEIGH, NC 27614-6628
(919) 800-2442
(919) 800-2440
Mailing address
8833 WALKING STICK TRL, RALEIGH, NC 27615-4037
(919) 918-4471
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102980
NC
Other
Enumeration date
01/26/2006
Last updated
09/08/2010
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