Individual
GINA ELIZABETH MAULDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4801 GLENWOOD AVE STE 200, RALEIGH, NC 27612-3857
(919) 578-8115
(919) 578-6325
Mailing address
4801 GLENWOOD AVE STE 200, RALEIGH, NC 27612-3857
(919) 578-8115
(919) 578-6325
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03256
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710250527
—
NC
Enumeration date
02/10/2012
Last updated
11/30/2025
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