Individual
ALICIA GOLDEN WARRICK BOUSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1300 N UNIVERSITY PKWY, HIGH POINT, NC 27262-3456
(336) 841-4683
(336) 888-6353
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102588
NC
363AM0700X
Medical Physician Assistant
102588
NC
Other
Enumeration date
05/02/2008
Last updated
10/26/2020
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