Dominic Edward Agresta, PA
Physician Assistant in Salisbury, NC. Individual provider (NPI-1).
NPI number1093962045
StatusActive
Last updated in NPPESJul 15, 2024
Details
- NPI
- 1093962045
- Entity type
- Individual (NPI-1)
- Name
- Dominic Edward Agresta
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2008
- Certification date
- May 12, 2023
- Last updated
- Jul 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-01450 | NC | Yes |
Practice location
340 Jake Alexander Blvd WSte 105
Salisbury, NC 28147-1364
Phone 704-403-6240
Mailing address
Po Box 19305Charlotte, NC 28219-9305
Other practice locations
5717 Albemarle Rd
Charlotte, NC 28212-1634
Charlotte, NC 28212-1634
Phone 704-563-2150
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All 93 Physician Assistant providers in Salisbury · All 2,298 providers in Salisbury
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