Individual
MRS. ALICIA KONNEKER NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7940 WILLIAMS POND LN, SUITE 150, CHARLOTTE, NC 28277-8766
(704) 752-7779
(704) 752-7775
Mailing address
7940 WILLIAMS POND LN, SUITE 150, CHARLOTTE, NC 28277-8766
(704) 752-7779
(704) 752-7775
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-01222
NC
Other
Enumeration date
02/20/2008
Last updated
05/10/2010
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