person
Larry Dean Nelson, PA-C
Medical Physician Assistant in Charlotte, North Carolina
NPI 1306950076

Larry Dean Nelson is a Medical Physician Assistant based in Charlotte, NC and is specialized in Medical. Larry Dean Nelson practices in Charlotte, NC and has the professional credentials of PA-C. The NPI Number for Larry Dean Nelson is 1306950076 and holds a License No. 101010 (North Carolina).

The current practice location address for Larry Dean Nelson is 1001 Blythe Blvd Ste 300, Charlotte, NC and can be reached out via phone at 704-373-0212 and via fax at 704-373-1216.

Location: 1001 Blythe Blvd Ste 300, Charlotte, NC, 28260-0122
person
Provider Profile Details
NPI Number
1306950076
Provider Name
Larry Dean Nelson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1001 Blythe Blvd Ste 300, Charlotte, NC, 28260-0122
Phone Number
704-373-0212
Fax Number
704-373-1216
Provider Enumeration Date
08/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0194PA 05 SC
P00245252 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1001 Blythe Blvd Ste 300
City
State
Zip
28203-5863
Phone Number
704-373-0212
Fax Number
704-373-1216
person
Provider Business Mailing Address Details
Address
1001 Blythe Blvd Ste 300
City
State
Zip
28203-5863
Phone Number
704-373-0212
Fax Number
704-373-1216
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
101010 (North Carolina)
Definition
Definition to come...
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