Individual
MISS MI-YOUNG UM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-4372
Mailing address
207 SHADOW ROCK LN, MARS, PA 16046-1703
(630) 947-6519
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
NC
Other
Enumeration date
11/03/2017
Last updated
03/17/2018
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