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NPI Code Detail

MEDICARE: MARGIE H TRENT PAC

MEDICARE:   MARGIE H TRENT  PAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant101245NC

General Provider Information

NPI Number : 1033170782
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGIE H TRENT PAC
Provider Business Mailing Address
First Line : 10030 EDISON SQUARE DR NW STE 100A
Second Line :
City : CONCORD
State : NC
Zip : 28027-8308
Country : US
Telephone Number : 704-403-7670
Fax Number :
Provider Business Practice Location Address
First Line : 10030 EDISON SQUARE DR NW STE 100A
Second Line :
City : CONCORD
State : NC
Zip : 28027-8308
Country : US
Telephone Number : 704-403-7670
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2006
Last Update Date : 01/23/2026

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Directions to “ MARGIE H TRENT PAC” Practice Location

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