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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
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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