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Individual

MRS. ALISSA NATALIE BINFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2936 N ELM ST, SUITE #102, LUMBERTON, NC 28358-2981
(910) 671-6619
Mailing address
PO BOX 63362, CHARLOTTE, NC 28263-3362
(919) 620-4700

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06683
NC
363AS0400X
Surgical Physician Assistant
0010-06683
NC

Other

Enumeration date
08/29/2016
Last updated
12/02/2016
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