Individual
KARSON MAKENNA STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4350 US 421 S, LILLINGTON, NC 27546-6760
(910) 893-1210
Mailing address
401 OBERLIN RD APT 500, RALEIGH, NC 27605-1489
(336) 516-4141
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11744
NC
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/28/2021
Last updated
02/01/2022
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