Individual
HENRY CAMPBELL MCNAUGHTON BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3031 NEW BERN AVE STE 306, RALEIGH, NC 27610-2989
(919) 876-7807
Mailing address
3031 NEW BERN AVE STE 306, RALEIGH, NC 27610-2989
(919) 876-7807
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-12600
NC
Other
Enumeration date
09/30/2022
Last updated
06/09/2023
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