Individual
NEIL TEAGUE MASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
420 W MOUNTAIN ST, KERNERSVILLE, NC 27284-2534
(336) 993-1618
(336) 993-5340
Mailing address
2013 MIDDLEHAM DR, KERNERSVILLE, NC 27284-8650
(336) 993-2460
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
101146
NC
Other
Enumeration date
04/22/2006
Last updated
07/22/2016
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