MICHELE PROVOST, PA

Physician Assistant

Active Individual
NPI: 1043388754

Practice Address

2125 VALLEYGATE DR STE 201
Fayetteville, NC 28304

Phone: (910) 920-1450

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 0010-02284 (NC)

Frequently Asked Questions

NPI 1043388754 is the National Provider Identifier for MICHELE PROVOST, PA, a Physician Assistant provider located in Fayetteville, NC. This NPI was enumerated on December 1, 2006.
MICHELE PROVOST, PA practices at 2125 VALLEYGATE DR STE 201, Fayetteville, NC 28304.

Quick Facts

NPI
1043388754
Type
Individual
Enumerated
Dec 1, 2006
Last Updated
Mar 4, 2025

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