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Individual

MRS. JILL R CZAJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
7968 HWY 19E, BRMC-MAYLAND CAMPUS, SPRUCE PINE, NC 28777-6011
(828) 765-4111
(828) 765-5676
Mailing address
7968 HWY 19E, BRMC-MAYLAND CAMPUS, SPRUCE PINE, NC 28777-6011
(828) 765-4111
(828) 765-5676

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103615
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8103074
NC
Enumeration date
01/29/2007
Last updated
08/07/2013
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