HASEENA BACCHUS WILLIAM

CHARLOTTE, NC
NPI1518291913
Former NameHASEENA FELICIA BACCHUS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-09959)
Additional Taxonomies363A00000X Physician Assistant
(Licence: PA  MA-054149)
363A00000X Physician Assistant
(Licence: TX  PA06781)
Enumeration Date2009-10-01
Last Update Date2025-07-07
Business Address
HASEENA BACCHUS WILLIAM P.A.
10620 PARK RD STE 202
CHARLOTTE, NC 28210-0106
Phone number: 844-235-6999
Mailing Address
HASEENA BACCHUS WILLIAM P.A.
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number: