Individual
AGETA MUCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1025 MOREHEAD MEDICAL DR, SUITE 225, CHARLOTTE, NC 28204-2963
(704) 355-7150
Mailing address
PO BOX 945395, ATLANTA, GA 30394-5395
(888) 820-9533
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1099698
NC
363A00000X
Physician Assistant
22306
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455PA
—
SC
05
—
8102489
—
NC
01
—
P01118505
RAILROAD-MEDICARE
NC
Enumeration date
03/21/2012
Last updated
10/07/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us