Individual
ALISA SIEBRASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 MASON FARM RD, CHAPEL HILL, NC 27514-4617
(984) 974-4462
(919) 843-9355
Mailing address
102 MASON FARM RD, CHAPEL HILL, NC 27514-4617
(984) 974-4462
(919) 843-9355
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2023-00405
NC
390200000X
Student in an Organized Health Care Education/Training Program
261474
NC
Other
Enumeration date
04/26/2020
Last updated
08/30/2023
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