Individual
ISABELLA GRACE DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5085 MORGANTON RD, FAYETTEVILLE, NC 28314-1523
(910) 323-3890
(910) 323-4509
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11200
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700468121
—
NC
01
—
NNG359A
MEDICARE PTAN
NC
01
—
NNG359B
MEDICARE PTAN
NC
Enumeration date
04/26/2021
Last updated
10/30/2023
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