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Individual

CASSIDY SIERRA LILLIAN PREWITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPH, MMS, PA-C

Contact information

Practice address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
(704) 638-9000
Mailing address
14011 BRIARDALE LN, TAMPA, FL 33618-2209
(813) 846-6677

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9114663
FL

Other

Enumeration date
07/08/2021
Last updated
11/30/2021
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