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Philip S Perrotta, PA-C

Physician Assistant in Pinehurst, NC. Individual provider (NPI-1).

NPI number1346257524
StatusActive
Last updated in NPPESNov 24, 2021

Details

NPI
1346257524
Entity type
Individual (NPI-1)
Name
Philip S Perrotta
Credential
PA-C
Sex
Male
Sole proprietor
No
Enumeration date
Aug 1, 2006
Certification date
Nov 24, 2021
Last updated
Nov 24, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant102805NCYes

Practice location

6 Regional Dr
Suite A
Pinehurst, NC 28374-8850

Phone 910-585-1023

Mailing address

6 Regional Circle
Suite A
Pinehurst, NC 28374

Phone 910-585-1023

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