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1538614151
CARSON LEE ANTIS
WILMINGTON, NC
NPI
1538614151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-06483)
Enumeration Date
2016-08-24
Last Update Date
2021-05-27
Business Address
CARSON LEE ANTIS PA-C
2131 S 17TH ST
WILMINGTON, NC 28401-7407
Phone number: 910-662-9300
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Mailing Address
CARSON LEE ANTIS PA-C
2819 WILLOW ST
WILMINGTON, NC 28405-3051
Phone number:
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