Individual provider · Type 1 NPI

Roy G. Waronsky, P.A.

Medical Physician Assistant · Mooresville, NC

NPI number 1841257508 Active

Practice location

400 E Statesville Ave Ste 20
Mooresville, NC 28115-2581

Fax (704) 230-4674

Mailing address

400 E Statesville Ave Ste 200
Mooresville, NC 28115-2588

Other practice locations

  • 129 W Main Street, Yadkinville, NC 27055 · (336) 677-3900

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Family Medicine) Physician 207QA0401X102512 (NC)
Medical Physician Assistant Primary 363AM0700X102512 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1841257508

Roy G. Waronsky, P.A.'s National Provider Identifier is 1841257508, issued on Apr 27, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mooresville, NC. The record was last updated on Sep 1, 2021.