Mahalia Anice Whitley
Physician Assistant in Fayetteville, NC. Individual provider (NPI-1).
NPI number1164042719
StatusActive
Last updated in NPPESNov 21, 2024
Details
- NPI
- 1164042719
- Entity type
- Individual (NPI-1)
- Name
- Mahalia Anice Whitley
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2020
- Certification date
- Nov 21, 2024
- Last updated
- Nov 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
7300 S Raeford RdFayetteville, NC 28304-6162
Phone 910-475-6471
Mailing address
7300 S Raeford RdFayetteville, NC 28304-6162
Phone 910-475-6471
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All 291 Physician Assistant providers in Fayetteville · All 9,765 providers in Fayetteville
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