Individual
MISS EMILY AMONI EUSTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7019 HARPS MILL ROAD, SUITE 200, RALEIGH, NC 27615
(919) 850-1300
Mailing address
1414 BARTON PLACE DR, RALEIGH, NC 27608-2571
(404) 610-0003
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-04466
NC
Other
Enumeration date
09/16/2013
Last updated
05/19/2016
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