Individual
CHRISTINE ANNE MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
112 E BALLARD ST, ELLERBE, NC 28338-9730
(910) 652-2663
(910) 652-3150
Mailing address
PO BOX 896208, CHARLOTTE, NC 28289-6208
(910) 652-2663
(910) 652-3150
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8102813
—
NC
Enumeration date
10/04/2012
Last updated
07/21/2022
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