Individual
MISS KATHERINE D MOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1774 METROMEDICAL DR, FAYETTEVILLE, NC 28304-3861
(910) 568-3903
(910) 568-3908
Mailing address
1774 METROMEDICAL DR, FAYETTEVILLE, NC 28304-3861
(910) 568-3903
(910) 568-3908
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0001-04204
NC
Other
Enumeration date
08/22/2005
Last updated
02/08/2013
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