Individual
BIANCA R PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9805 SANDY ROCK PL STE E, CHARLOTTE, NC 28277-7731
(980) 580-0468
(980) 580-0470
Mailing address
4705 UNIVERSITY DR BLDG 700, DURHAM, NC 27707-3489
(919) 237-1337
(866) 538-4716
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-14821
NC
363A00000X
Physician Assistant
029979
NY
363AM0700X
Medical Physician Assistant
029979
NY
363AS0400X
Surgical Physician Assistant
029979
NY
Other
Enumeration date
04/03/2023
Last updated
12/08/2025
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