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NPI Code Detail

MEDICARE: KAROL DIANE DOWNING PA-C

MEDICARE: KAROL DIANE DOWNING 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
1363A00000XPhysician Assistant102341NC
2363AM0700XMedical Physician Assistant102341NC

General Provider Information

NPI Number : 1164412458
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAROL DIANE DOWNING PA-C
Provider Business Mailing Address
First Line : PO BOX 60447
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0447
Country : US
Telephone Number : 704-510-8000
Fax Number : 704-510-8006
Provider Business Practice Location Address
First Line : 10810 MALLARD CREEK RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28262-9786
Country : US
Telephone Number : 704-510-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2005
Last Update Date : 10/25/2020

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Directions to “ KAROL DIANE DOWNING PA-C” Practice Location

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