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Mrs. Mary Deakle, PA-C
Physician Assistant in Clemmons, North Carolina
NPI 1992762538

Mary Deakle is a Physician Assistant based in Charlotte, NC. Mary Deakle practices in Clemmons, NC and has the professional credentials of PA-C. The NPI Number for Mary Deakle is 1992762538 and holds a License No. 100874 (North Carolina).

The current practice location address for Mary Deakle is 6301 Stadium Dr, Clemmons, NC and can be reached out via phone at 336-766-6473 and via fax at 336-766-8909. You can also correspond with Mary Deakle through the mailing address at PO BOX 751803, CHARLOTTE, NC - 28275-1803 (mailing address contact number: 336-766-6473).

Location: 6301 Stadium Dr, Clemmons, NC, 28275-1803
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992762538
Provider Name
Mary Deakle
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
6301 Stadium Dr, Clemmons, NC, 28275-1803
Phone Number
336-766-6473
Fax Number
336-766-8909
Provider Enumeration Date
04/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00654536 01 NC RAILROAD MEDICARE
8101680 05 NC
institution
Provider Business Practice Location Address Details
Address
6301 Stadium Dr
City
Clemmons
State
North Carolina
Zip
27012-8766
Phone Number
336-766-6473
Fax Number
336-766-8909
person
Provider Business Mailing Address Details
Address
6301 Stadium Dr
City
Clemmons
State
North Carolina
Zip
27012-8766
Phone Number
336-766-6473
Fax Number
336-766-8909
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
100874 (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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
100874 (North Carolina)
Definition
Definition to come...
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