Mary Katherine Gray Altman
Physician Assistant in Lumberton, NC. Individual provider (NPI-1).
NPI number1104683812
StatusActive
Last updated in NPPESAug 15, 2024
Details
- NPI
- 1104683812
- Entity type
- Individual (NPI-1)
- Name
- Mary Katherine Gray Altman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 29, 2024
- Certification date
- Aug 15, 2024
- Last updated
- Aug 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
400 Liberty Hill RdLumberton, NC 28358-2446
Phone 910-739-3318
Mailing address
400 Liberty Hill RdLumberton, NC 28358-2446
Phone 910-739-3318
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