Individual
CARLY CLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4755 OGLETOWN STANTON ROAD, SUITE 2E99, NEWARK, DE 19718-2200
(302) 733-5982
(302) 733-6081
Mailing address
1603 N RODNEY ST APT 2, WILMINGTON, DE 19806-3092
(302) 528-9495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0012158
DE
Other
Enumeration date
09/26/2024
Last updated
01/13/2025
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