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Individual

EMILY AIKEN ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
445 PINEVIEW DR, SUITE 220, KERNERSVILLE, NC 27284-3817
(336) 993-8573
(336) 993-8319
Mailing address
4601 PARK RD, SUITE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-04300
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0010-04300
NC MEDICAL LICENSE
NC
Enumeration date
06/18/2013
Last updated
10/25/2020
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