Individual
MRS. JOY MAUNEY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
516 LAUSANNE DR, GREENSBORO, NC 27410-5243
(336) 299-7358
(336) 852-9151
Mailing address
516 LAUSANNE DR, GREENSBORO, NC 27410-5243
(336) 299-7358
(336) 852-9151
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
101147
NC
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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