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1518015247
PHEDRA ELIZABETH HENNESSEE
GREENSBORO, NC
NPI
1518015247
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-02997)
Enumeration Date
2007-01-08
Last Update Date
2021-04-22
Business Address
Mrs. PHEDRA ELIZABETH HENNESSEE Physician Assistant
1210 NEW GARDEN RD
GREENSBORO, NC 27410-2721
Phone number: 336-852-1915
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Mailing Address
Mrs. PHEDRA ELIZABETH HENNESSEE Physician Assistant
324 W WENDOVER AVE STE 200
GREENSBORO, NC 27408-8438
Phone number: 336-274-6515
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