SearchNorth Carolina363A00000X

Deborah Prouse, PA-C, ATC

NPI 1063512093 · on the registry since 2006

Practice

Address
2076 Hwy 42 West
Suite 300
Clayton, NC 27520
Phone
(919) 220-5255
Organisation at this address
Southeast Women'S Center, Pllc
Johnston Radiation Oncology Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Additional practice sites

  • 100 Kellie Dr, Smithfield, NC

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
2255A2300X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-10-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina