Individual
ALYSSA HORTON BOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
723 S VAN BUREN RD STE B, EDEN, NC 27288-5321
(336) 623-5171
(336) 627-5747
Mailing address
723 S VAN BUREN RD STE B, EDEN, NC 27288-5321
(336) 623-5171
(336) 627-5747
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-10625
NC
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/02/2020
Last updated
01/20/2023
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