Individual
AUTUMN P WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 671-5000
Mailing address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 671-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-16151
NC
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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