MACY ALEXANDRA MANTOOTH

WINSTON SALEM, NC
NPI1598404055
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-12344)
Enumeration Date2022-06-02
Last Update Date2023-03-23
Business Address
Ms. MACY ALEXANDRA MANTOOTH PA-C
10479 N NC HIGHWAY 109 STE 107A
WINSTON SALEM, NC 27107-9884
Phone number: 336-769-0246
Mailing Address
Ms. MACY ALEXANDRA MANTOOTH PA-C
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number:
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