BRENT DEATHERAGE, PA-C

PA-C

Medical Physician Assistant

NPI: 1336373257IndividualAccepts Medicare

Specialties, Licenses & Credentials

Surgical Physician Assistant

Physician Assistant — Surgical

Code: 363AS0400X

PA9104956(FL)

Medical Physician AssistantPrimary

Physician Assistant — Medical

Code: 363AM0700X

0010-03428(NC)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2008

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Contact & Hours

Address: 1900 RANDOLPH RD, STE 900
CHARLOTTE, NC 28207
Phone: (704) 377-2424

Quick Facts

NPI: 1336373257
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 2
Locations: 1
Years in Practice: 18

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