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Individual

MS. KATINA ELEY-HARDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
120 HEALTH CENTER DR, AHOSKIE, NC 27910-8161
(252) 332-3548
(252) 332-1665
Mailing address
PO BOX 669, AHOSKIE, NC 27910-0669
(252) 209-0237
(252) 209-0197

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
102844
NC
363AM0700X
Medical Physician Assistant
Primary
102844
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8101658
NC
Enumeration date
08/31/2006
Last updated
09/23/2016
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