CAROLINA NICK

PINEHURST, NC
NPI1417433145
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA214771)
Enumeration Date2018-07-16
Last Update Date2024-05-24
Business Address
CAROLINA NICK PA
205 PAGE RD
PINEHURST, NC 28374-8749
Phone number: 910-235-3330
Mailing Address
CAROLINA NICK PA
10215 SW HALL BLVD
TIGARD, OR 97223-8809
Phone number: 503-245-2415