CARSON LEE ANTIS PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1538614151- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 2131 S 17TH ST, WILMINGTON, NC, 284017407
- Phone
- (910) 662-9300
- Fax
- (910) 662-9301
Specialties & Taxonomies
Physician Assistant
Primary License: NC #0010-06483
All Addresses
MAILING
2819 WILLOW ST
WILMINGTON, NC, 284053051