Individual
CAROLYN LYNN ST CLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
4550 LEE HWY STE A, DUBLIN, VA 24084-3802
(540) 440-3170
(540) 674-5544
Mailing address
16 WALNUT AVE SW, ROANOKE, VA 24016-4719
(540) 345-6468
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001841
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700892775
—
VA
Enumeration date
07/31/2006
Last updated
01/25/2022
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