person
Mrs. Donna Antonia Theodore, PA-C
Medical Physician Assistant in Raleigh, North Carolina
NPI 1366470791

Donna Antonia Theodore is a Medical Physician Assistant based in Raleigh, NC and is specialized in Medical. Donna Antonia Theodore practices in Raleigh, NC and has the professional credentials of PA-C. The NPI Number for Donna Antonia Theodore is 1366470791 and holds a License No. 104147 (North Carolina).

The current practice location address for Donna Antonia Theodore is 3604 Bush St, Raleigh, NC and can be reached out via phone at 919-876-7807 and via fax at 919-876-8823.

Location: 3604 Bush St, Raleigh, NC, 27609-7511
person
Provider Profile Details
NPI Number
1366470791
Provider Name
Donna Antonia Theodore
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
3604 Bush St, Raleigh, NC, 27609-7511
Phone Number
919-876-7807
Fax Number
919-876-8823
Provider Enumeration Date
06/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3604 Bush St
City
State
Zip
27609-7511
Phone Number
919-876-7807
Fax Number
919-876-8823
person
Provider Business Mailing Address Details
Address
3604 Bush St
City
State
Zip
27609-7511
Phone Number
919-876-7807
Fax Number
919-876-8823
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
104147 (North Carolina)
Definition
Definition to come...
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