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Ashley Marie Clark Medina, PA-C
Physician Assistant in Charlotte, North Carolina
NPI 1720372790

Ashley Marie Clark Medina is a Physician Assistant based in Charlotte, NC. Ashley Marie Clark Medina practices in Charlotte, NC and has the professional credentials of PA-C. The NPI Number for Ashley Marie Clark Medina is 1720372790 and holds a License No. 0010-04099 (North Carolina).

The current practice location address for Ashley Marie Clark Medina is 3623 Latrobe Dr Ste 216, Charlotte, NC and can be reached out via phone at 704-332-1291 and via fax at 704-332-5206. You can also correspond with Ashley Marie Clark Medina through the mailing address at PO BOX 221249, CHARLOTTE, NC - 28222-1249 (mailing address contact number: 704-332-1291).

Location: 3623 Latrobe Dr Ste 216, Charlotte, NC, 28222-1249
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Provider Profile Details
NPI Number
1720372790
Provider Name
Ashley Marie Clark Medina
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
3623 Latrobe Dr Ste 216, Charlotte, NC, 28222-1249
Phone Number
704-332-1291
Fax Number
704-332-5206
Provider Enumeration Date
06/07/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Y08KY 01 FL BLUE CROSS BLUE SHIELD
133176 05 AL
institution
Provider Business Practice Location Address Details
Address
3623 Latrobe Dr Ste 216
City
State
Zip
28211
Phone Number
704-332-1291
Fax Number
704-332-5206
person
Provider Business Mailing Address Details
Address
3623 Latrobe Dr Ste 216
City
State
Zip
28211
Phone Number
704-332-1291
Fax Number
704-332-5206
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
License No.
0010-04099 (North Carolina)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
License No.
0010-04099 (North Carolina)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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