Individual
BRIAN JAMES MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
501 OLDE WATERFORD WAY, LELAND, NC 28451-4117
(910) 408-1130
(910) 408-1135
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(910) 754-4441
(910) 754-5307
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-05635
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740671650
—
NC
Enumeration date
02/13/2015
Last updated
11/22/2021
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