Individual
EVERETT ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10801 MONROE RD, SUITE A, MATTHEWS, NC 28105-8335
(704) 237-4240
Mailing address
10801 MONROE RD, SUITE A, MATTHEWS, NC 28105-8335
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06822
NC
363A00000X
Physician Assistant
PA11517
TX
Other
Enumeration date
10/10/2016
Last updated
06/10/2020
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