Individual
CHRISTOPHER WAYNE OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2503 E LYON STATION RD, CREEDMOOR, NC 27522-9112
(919) 528-1535
(919) 528-8307
Mailing address
PO BOX 751274, CHARLOTTE, NC 28275-1274
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001003133
NC
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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