Individual provider · Type 1 NPI
Courtney Atkins Villasuso, PA-C
Medical Physician Assistant · Clyde, NC
NPI number
1861047466
Active
Practice location
11 Falcon Crest Ln
Clyde, NC 28721-6620
Mailing address
PO Box 1921
Clyde, NC 28721-1921
Other practice locations
- 808 Farrar Dr, Conway, SC 29526-8747 · (843) 234-8700
- 1100 62nd Ave N, Ste B, Myrtle Beach, SC 29572-7202 · (843) 234-8700
- 600 Alliance Ct Ste 200, Asheville, NC 28806-5001 · (828) 565-0562
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 0010-15185 (NC) |
| Medical Physician Assistant Primary | 363AM0700X | 3571 (SC) |
Medical Physician Assistant: Definition to come...
4 other providers at this address
Other medical physician assistant providers in Clyde
- Jon Barkley Grady, PA-CMedical Physician Assistant Clyde, NC NPI 1346227105
- Brandi Moziak, PAMedical Physician Assistant Clyde, NC NPI 1568918027
- Kristin C. Gruner, PAMedical Physician Assistant Clyde, NC NPI 1649304577
- Melissa E. Sommerich, MHS, PA-CMedical Physician Assistant Clyde, NC NPI 1992972947
About NPI 1861047466
Courtney Atkins Villasuso, PA-C's National Provider Identifier is 1861047466, issued on Aug 9, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Clyde, NC. The record was last updated on Mar 25, 2025.