Brandy L Embry, PA
Physician Assistant in Kernersville, NC. Individual provider (NPI-1).
NPI number1790736064
StatusActive
Last updated in NPPESNov 4, 2020
Details
- NPI
- 1790736064
- Entity type
- Individual (NPI-1)
- Name
- Brandy L Embry
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 12, 2006
- Certification date
- Sep 29, 2020
- Last updated
- Nov 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-02176 | NC | Yes |
| 363A00000X | Physician Assistant | 02176 | NC | |
| 363AM0700X | Physician Assistant, Medical | 2097 | AZ |
Other names
- Brandy L Wallis (Former Name)
Practice location
794 S Main St Ste BKernersville, NC 27284-4074
Phone 336-904-2317 · Fax 336-443-6030
Mailing address
Po Box 601843Charlotte, NC 28260-1843
Other practice locations
4220 Apex Hwy Ste 160
Durham, NC 27713-5295
Durham, NC 27713-5295
Phone 919-897-8784
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All 52 Physician Assistant providers in Kernersville · All 1,398 providers in Kernersville
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