Individual
EILEEN SHANNON COURTLEIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
724 S HORNER BLVD, SANFORD, NC 27330-4822
(919) 776-6767
(919) 776-6773
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11470
NC
363A00000X
Physician Assistant
MA002587L
PA
Other
Enumeration date
01/05/2007
Last updated
12/01/2022
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