Doctor Name: | WILLIAM A MUNN |
NPI Number: | 1053386078 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA |
License Number: | 102951 |
Business Practice Address: | 10589 East Nc 97 Rocky Mount, NC - 27803 |
Business Phone Number: | 2524421807 |
Business Fax Number: | 2524421649 |
Mailing Address: | Po Box 7867, ROCKY MOUNT |
State: | NC |
Postal Code: | 278040867 |
Phone Number: | 2524512700 |
Fax Number: | 2524421649 |
NPI Enumeration Date: | 02/22/2006 |
NPI Last Update Date: | 04/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 102951 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |