Individual
BRENDA KAY DUSHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPA-C
Contact information
Practice address
20 MEDICAL CAMPUS DR NW STE 104, SUPPLY, NC 28462-4094
(910) 575-5800
Mailing address
20 MEDICAL CAMPUS DR NW STE 104, SUPPLY, NC 28462-4094
(910) 575-5800
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1305
NC
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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