Individual provider · Type 1 NPI
Melissa L. Clary, PA-C
Medical Physician Assistant · Charlotte, NC
NPI number
1194807651
Active
Practice location
1709 East Blvd
Charlotte, NC 28203-5823
Fax (704) 332-6642
Mailing address
100 Hawthorn Ln
Daniels, WV 25832-9269
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 01237 (WV) |
| Medical Physician Assistant Primary | 363AM0700X | 0010-03356 (NC) |
Medical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1194807651
Melissa L. Clary, PA-C's National Provider Identifier is 1194807651, issued on Oct 20, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Charlotte, NC. The record was last updated on Mar 23, 2012.