Individual
HENRY MARVIN ALTHISAR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3402 BATTLEGROUND AVE, GREENSBORO, NC 27410
(336) 545-1515
Mailing address
3402 BATTLEGROUND AVE, GREENSBORO, NC 27410-2404
(336) 545-1515
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
101467
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101467
LICENSE
NC
Enumeration date
08/06/2007
Last updated
03/07/2023
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