Doctor Name: | KIMBERLY ANNE MAJOR |
NPI Number: | 1720147986 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PAC |
License Number: | 0010-05291 |
Business Practice Address: | 213 9th St Bolton, NC - 284238410 |
Business Phone Number: | 9106558300 |
Business Fax Number: | 9102678997 |
Mailing Address: | 2218 Wilmington Rd, SOUTHPORT |
State: | NC |
Postal Code: | 284617942 |
Phone Number: | 3528403058 |
Fax Number: | 9102671237 |
NPI Enumeration Date: | 12/06/2006 |
NPI Last Update Date: | 12/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 0010-05291 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |