SIDE MACK JR., PA
Physician Assistant
Active
Individual
NPI: 1740232966
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 0010-00323 (NC) |
Frequently Asked Questions
NPI 1740232966 is the National Provider Identifier for SIDE MACK JR., PA, a Physician Assistant provider located in Greensboro, NC. This NPI was enumerated on May 16, 2006.
SIDE MACK JR., PA practices at 1309 LEES CHAPEL RD, Greensboro, NC 27455.
Quick Facts
- NPI
- 1740232966
- Type
- Individual
- Enumerated
- May 16, 2006
- Last Updated
- Feb 1, 2022
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