Individual
DEONNA L FAUCETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4601 US HIGHWAY 220 N, SUMMERFIELD, NC 27358-9207
(336) 643-7738
Mailing address
4601 US HIGHWAY 220 N, SUMMERFIELD, NC 27358-9207
(336) 643-7738
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103532
NC
Other
Enumeration date
03/17/2011
Last updated
12/23/2016
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