CHARITA RENNEY MONTGOMERY BIVENS

RALEIGH, NC
NPI1760903215
Former NameCHARITA RENNEY MONTGOMERY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-07152)
Enumeration Date2017-07-05
Last Update Date2022-08-10
Business Address
Mrs. CHARITA RENNEY MONTGOMERY BIVENS PA-C
2901 BLUE RIDGE RD STE 100
RALEIGH, NC 27607-6423
Phone number: 919-784-3018
Mailing Address
Mrs. CHARITA RENNEY MONTGOMERY BIVENS PA-C
2901 BLUE RIDGE RD STE 100
RALEIGH, NC 27607-6423
Phone number: 919-784-3018
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