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NPI Code Detail

MEDICARE: MS. PAULINA CARMONA-RODRIGUEZ PA-C

MEDICARE: MS. PAULINA CARMONA-RODRIGUEZ 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
1207Q00000XFamily Medicine Physician255793NC

General Provider Information

NPI Number : 1982233458
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PAULINA CARMONA-RODRIGUEZ PA-C
Provider Business Mailing Address
First Line : 14230 HUNTERS RD
Second Line :
City : HUNTERSVILLE
State : NC
Zip : 28078-7335
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14230 HUNTERS RD
Second Line :
City : HUNTERSVILLE
State : NC
Zip : 28078-7335
Country : US
Telephone Number : 704-316-6611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2020
Last Update Date : 04/06/2020

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Directions to “ MS. PAULINA CARMONA-RODRIGUEZ PA-C” Practice Location

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