Individual
KAMELIYA HRISTOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1710 KERNERSVILLE MEDICAL PKWY STE 201, KERNERSVILLE, NC 27284-7156
(336) 515-7440
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 718-1680
(336) 718-1681
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/01/2015
Last updated
09/24/2020
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