Individual provider · Type 1 NPI

Reza John Hatefi, PAC

Physician Assistant · Wake Forest, NC

NPI number 1114960036 Active

Practice location

2001 S Main St
Wake Forest, NC 27587-1649

Call (919) 350-0365 Map

Mailing address

2920 Highwoods Blvd
Raleigh, NC 27604-0010

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNC 103020 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1114960036

Reza John Hatefi, PAC's National Provider Identifier is 1114960036, issued on Jun 14, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wake Forest, NC. The record was last updated on Feb 25, 2021.