Individual provider · Type 1 NPI

Mary Susan Shaw Tolbert, PA-C

Physician Assistant · Fort Bragg, NC

NPI number 1790767705 Active

Practice location

Building C-1722, Tagatay And Gruber Rd.
Fort Bragg, NC 28310-0001

Fax (910) 907-9360

Mailing address

1511 Donelson Pkwy, Womack Army Medical Center
Dover, TN 37058-3749

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA0000001709 (TN)

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 1790767705

Mary Susan Shaw Tolbert, PA-C's National Provider Identifier is 1790767705, issued on Nov 16, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Bragg, NC. The record was last updated on Jul 13, 2026.