MICHELE PROVOST, PA

PA

Physician Assistant

NPI: 1043388754IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

0010-02284(NC)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2006

Contact & Hours

Address: 2125 VALLEYGATE DR STE 201
FAYETTEVILLE, NC 28304
Phone: (910) 920-1450

Quick Facts

NPI: 1043388754
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 20

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