MISS Deborah Marisa Prouse, PA-C, ATC
NPI #1063512093 in Clayton, North Carolina
Provider Information
- NPI Number
- 1063512093
- Entity Type
- Individual
- Name
- MISS Deborah Marisa Prouse, PA-C, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C, ATC
- Enumeration Date
- Sep 22, 2006
- Last Updated
- Oct 13, 2021
Practice Location
- Address
- 2076 HWY 42 WEST
- Address 2
- SUITE 300
- City
- Clayton
- State
- North Carolina
- ZIP Code
- 27520-5302
- Phone
- (919) 220-5255
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
| Physician Assistant |
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