Individual
ALISHA T DETROYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
905 PHILLIPS AVE, HIGH POINT, NC 27262-7075
(336) 802-2040
(336) 802-2041
Mailing address
1701 WESTCHESTER DR, SUITE 850, HIGH POINT, NC 27262-7008
(336) 802-2536
(336) 802-2534
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
104035
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7264734
AETNA
NC
01
—
D5159
MEDCOST
NC
Enumeration date
12/13/2005
Last updated
08/15/2013
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