Theresa M Micke, PA-C
NPI #1033469531 in Benson, North Carolina
Provider Information
- NPI Number
- 1033469531
- Entity Type
- Individual
- Name
- Theresa M Micke, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Sep 12, 2012
- Last Updated
- Jun 18, 2013
Practice Location
- Address
- 3333 NC HIGHWAY 242 N
- City
- Benson
- State
- North Carolina
- ZIP Code
- 27504-7844
- Phone
- (919) 894-2011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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