Individual
MS. AUDREY JALAINE KONIGSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
430 RANKIN DR, MARION, NC 28752-6568
(828) 659-5175
Mailing address
355 SOURWOOD MOUNTAIN DR, MURPHY, NC 28906-4559
(828) 494-9694
(828) 494-9696
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103511
NC
Other
Enumeration date
03/19/2007
Last updated
07/16/2010
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