Individual
JOSEPH A HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1633 SUGAR HILL RD, SUITE 1, MARION, NC 28752-5239
(828) 652-7776
(828) 652-7807
Mailing address
PO BOX 602373, CHARLOTTE, NC 28260-2373
(828) 652-7776
(828) 652-7807
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
102114
NC
363A00000X
Physician Assistant
Primary
102114
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970026952
RAILROAD RETIREMENT
NC
Enumeration date
03/30/2006
Last updated
10/07/2016
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