Individual
MR. AUSTIN LAINE DAGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
115 KILDAIRE PARK DR STE 205, CARY, NC 27518-8144
(919) 787-7246
(919) 787-7247
Mailing address
3801 WAKE FOREST RD STE 210, RALEIGH, NC 27609-6864
(919) 787-7246
(919) 787-7247
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-13019
NC
363AM0700X
Medical Physician Assistant
—
AL
363AS0400X
Surgical Physician Assistant
—
AL
Other
Enumeration date
09/03/2019
Last updated
02/12/2024
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