LISA VIRGINIA WHARTON

WASHINGTON, NC
NPI1205177714
Former NameLISA VIRGINIA KOTTKE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NC  0010-04063)
Enumeration Date2013-03-07
Last Update Date2014-09-23
Business Address
-- LISA VIRGINIA WHARTON PA-C
1412 CAROLINA AVE
WASHINGTON, NC 27889-3314
Phone number: 252-623-2000
Mailing Address
-- LISA VIRGINIA WHARTON PA-C
104 PERQUIMANS DR
CHOCOWINITY, NC 27817-8886
Phone number: 336-251-5646
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