Katina Eley-Hardy, PAC
Physician Assistant, Medical in Ahoskie, NC. Individual provider (NPI-1).
NPI number1619087640
StatusActive
Last updated in NPPESSep 23, 2016
Details
- NPI
- 1619087640
- Entity type
- Individual (NPI-1)
- Name
- Ms. Katina Eley-Hardy
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Sep 23, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 102844 | NC | Yes |
| 363A00000X | Physician Assistant | 102844 | NC |
Practice location
120 Health Center DrAhoskie, NC 27910-8161
Phone 252-332-3548 · Fax 252-332-1665
Mailing address
Po Box 669Ahoskie, NC 27910-0669
Phone 252-209-0237 · Fax 252-209-0197
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