Individual
ANGELA ACEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2311 LEWISVILLE CLEMMONS RD, CLEMMONS, NC 27012-8905
(336) 713-0400
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-2011
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02511
NC
Other
Enumeration date
10/06/2006
Last updated
03/15/2017
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