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1760903215
CHARITA RENNEY MONTGOMERY BIVENS
RALEIGH, NC
NPI
1760903215
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Former Name
CHARITA RENNEY MONTGOMERY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-07152)
Enumeration Date
2017-07-05
Last Update Date
2022-08-10
Business Address
Mrs. CHARITA RENNEY MONTGOMERY BIVENS PA-C
2901 BLUE RIDGE RD STE 100
RALEIGH, NC 27607-6423
Phone number: 919-784-3018
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Mailing Address
Mrs. CHARITA RENNEY MONTGOMERY BIVENS PA-C
2901 BLUE RIDGE RD STE 100
RALEIGH, NC 27607-6423
Phone number: 919-784-3018
Copy
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