Individual
ALYSSA FAITH RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
1431 SOUTH BLVD, CHARLOTTE, NC 28203-4211
(704) 709-1171
Mailing address
3200 ROCKBRIDGE ST STE 103, RICHMOND, VA 23230-4333
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11185
NC
363A00000X
Physician Assistant
25MP00435800
NJ
Other
Enumeration date
06/23/2017
Last updated
11/14/2024
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