Individual
MR. CATHY PAUL PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
170 KIMEL PARK DR, WINSTON-SALEM, NC 27103-6946
(704) 323-2000
Mailing address
4601 PARK RD, SUITE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
100760
NC
Other
Enumeration date
06/22/2006
Last updated
06/11/2014
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