Individual
CARENTXA IRYVA GOEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1730 KERNERSVILLE MEDICAL PKWY STE 101, KERNERSVILLE, NC 27284-7198
(336) 564-4950
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-15018
NC
Other
Enumeration date
12/10/2024
Last updated
03/25/2025
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