Individual
MISS CELESTE MARIAH ECHEVARRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
445 DOLLEY MADISON RD STE 100, GREENSBORO, NC 27410-5166
(336) 649-9000
Mailing address
7780 BRIER CREEK PKWY STE 200, RALEIGH, NC 27617-7869
(919) 596-3400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001011044
NC
363AM0700X
Medical Physician Assistant
001011044
NC
Other
Enumeration date
05/02/2019
Last updated
11/04/2022
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