Individual
MISS CAROLYN GREEN KELLAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5 FIRSTVILLAGE DRIVE, PINEHURST, NC 28374
(910) 295-6831
(910) 295-0244
Mailing address
PO BOX 105, TROY, NC 27371-0105
(910) 295-6831
(910) 295-0244
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001003031
NC
Other
Enumeration date
06/27/2011
Last updated
10/04/2019
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