Individual
BRANDY L EMBRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
794 S MAIN ST STE B, KERNERSVILLE, NC 27284-4074
(336) 904-2317
(336) 443-6030
Mailing address
PO BOX 601843, CHARLOTTE, NC 28260-1843
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02176
NC
363A00000X
Physician Assistant
02176
NC
363AM0700X
Medical Physician Assistant
2097
AZ
Other
Enumeration date
05/12/2006
Last updated
11/04/2020
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