Individual
ALISON MICHELLE ERVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
111 GATEWAY CENTER DR, KERNERSVILLE, NC 27284-2999
(336) 904-2317
(336) 996-3254
Mailing address
PO BOX 601843, CHARLOTTE, NC 28260-1843
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03503
NC
363AM0700X
Medical Physician Assistant
1088833
NC
363AM0700X
Medical Physician Assistant
MA054080
PA
Other
Enumeration date
09/22/2009
Last updated
10/25/2020
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