Individual
MRS. ALLYSON NORWOOD VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3623 LATROBE DR, SUITE 216, CHARLOTTE, NC 28211-4864
(704) 332-1291
(704) 332-5206
Mailing address
PO BOX 221249, CHARLOTTE, NC 28222-1249
(704) 332-1291
(704) 332-5206
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
0010-05512
NC
363A00000X
Physician Assistant
Primary
0010-05512
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-05512
NC MEDICAL BOARD
NC
01
—
1123603
NCCPA
—
Enumeration date
02/16/2015
Last updated
08/04/2021
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