Individual
MRS. CAROL CONLEY MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIANS ASSISTANT
Contact information
Practice address
169 BIRCH ST, BOONE, NC 28607-5069
(828) 264-4553
(828) 262-3649
Mailing address
169 BIRCH ST, BOONE, NC 28607-5069
(828) 264-4553
(828) 262-3649
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
101425
NC
Other
Enumeration date
12/01/2005
Last updated
12/13/2013
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