Individual
KAREN ROHDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
119 MARKET PLACE AVE STE D, MOORESVILLE, NC 28117-9157
(704) 631-0002
Mailing address
PO BOX 602148, CHARLOTTE, NC 28260-2148
(704) 631-0002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102477
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821005356
—
NC
Enumeration date
08/01/2006
Last updated
05/07/2014
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