Individual provider · Type 1 NPI

Mary St. John, MMS, PA-C

Medical Physician Assistant · Charlotte, NC

NPI number 1255840385 Active

Practice location

1900 Scott Ave
Charlotte, NC 28203-6046

Mailing address

2015 Edgewater Dr
Charlotte, NC 28210-5328

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0010-07443 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1255840385

Mary St. John, MMS, PA-C's National Provider Identifier is 1255840385, issued on Sep 20, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Charlotte, NC. The record was last updated on Sep 20, 2017.