Individual
ADDISON AUSTIN ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2196 VETERANS PKWY, CLAYTON, NC 27520-8343
(919) 220-5255
(919) 969-9131
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(919) 220-5255
(919) 969-9131
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-10504
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2020
Last updated
04/28/2026
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