Paul Carpenter Maccarty I
NPI #1649840208 in South Boston, Virginia
Provider Information
- NPI Number
- 1649840208
- Entity Type
- Individual
- Name
- Paul Carpenter Maccarty I
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jun 28, 2021
- Last Updated
- Sep 28, 2021
Practice Location
- Address
- 4157 RIVER RD
- City
- South Boston
- State
- Virginia
- ZIP Code
- 24592-6017
- Phone
- (434) 572-7908
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Physician Assistant |
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