Individual
MRS. CHARLENE M WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
888 CHURCH ST N, CONCORD, NC 28025-4350
(704) 786-6122
(704) 784-9102
Mailing address
888 CHURCH ST N, CONCORD, NC 28025-4350
(704) 786-6122
(704) 784-9102
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103959
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103959
NC MEDICAL BOARD
NC
Enumeration date
07/19/2006
Last updated
07/08/2007
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