Individual
BIANCA L GOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
350 PINE STATE ST, LILLINGTON, NC 27546-9428
(910) 893-9700
Mailing address
350 PINE STATE ST, LILLINGTON, NC 27546-9428
(910) 893-9700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02149
NC
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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