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Individual

MRS. KARRIE ANN COMSTOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
Mailing address
2808 SINGLETARY LAKE CV, APEX, NC 27502-8572
(304) 692-9338

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06817
NC
363A00000X
Physician Assistant
0715
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0126752000
WV
05
0126874000
WV
05
0127483000
WV
05
0127974000
WV
05
3810011004
WV
Enumeration date
01/10/2006
Last updated
12/13/2018
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