MEDICARE: MICHAEL HENRY CARTLEDGE PA-C

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
1	363A00000X	Physician Assistant	102107	NC

General Provider Information

NPI Number	:	1073586590
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL HENRY CARTLEDGE PA-C

Provider Business Mailing Address
First Line	:	PO BOX 1267
Second Line	:
City	:	MOUNT AIRY
State	:	NC
Zip	:	27030-1267
Country	:	US
Telephone Number	:	336-786-4522
Fax Number	:	336-786-3752

Provider Business Practice Location Address
First Line	:	221A PROFESSIONAL CIR
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-4303
Country	:	US
Telephone Number	:	252-726-5767
Fax Number	:	252-726-7573

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	01/16/2026

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