Individual
ALICIA S LIBBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-09636
NC
363A00000X
Physician Assistant
6182
GA
363A00000X
Physician Assistant
PA.0004620
CO
Other
Enumeration date
08/02/2011
Last updated
07/09/2025
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