AIMEE SHAYE POLK


Address: 5212 N College Rd, Unit B, Castle Hayne, NC 28429-6016
Phone: 9106750333

AIMEE SHAYE POLK (NPI# 1376715763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376715763
Entity Type Individual
Full Name AIMEE SHAYE POLK
Credential PA-C
Practice Address 5212 N College Rd
Unit B
Castle Hayne
NC 28429-6016
Practice Telephone 9106750333
Practice Fax Number 9106750833
Mailing Telephone 9106750333
Mailing Fax Number 9106750833
Enumeration Date 2008-03-26
Last Update Date 2010-05-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
0010-01307 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5212 N COLLEGE RD
UNIT B
City CASTLE HAYNE
State NC
Zip Code 28429-6016

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NPI Name Taxonomy Address Enumeration
1871925644 Yahweh Center Childrens Village Psychiatric Residential Treatment Facility 5103 Lamb's Path Way, Castle Hayne, NC 28429 2013-08-05
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1598055659 Holly May Murray Occupational Therapy Assistant 206 Barrow St, Castle Hayne, NC 28429 2011-04-11
1962566182 Marc's Manor LLC Residential Treatment Facility, Emotionally Disturbed Children 3207 Reminisce Rd, Castle Hayne, NC 28429 2006-12-21
1487757167 North Carolina Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 5712 Castle Hayne Rd, Castle Hayne, NC 28429 2006-09-07
1922380351 Diane Upton Registered Nurse 4101 Cape Landing Rd, Castle Hayne, NC 28429-4514 2011-09-12
1609891001 Deborah A Hendrix Nurse Practitioner 112 Bavarian Dr, Castle Hayne, NC 28429-5100 2006-07-13
1730475484 Charles Marion Wilson Pharmacist 5712 Castle Hayne Rd, Castle Hayne, NC 28429-5112 2011-06-21
1265727564 Glynn Perry Littleton Pharmacist 5712 Castle Hayne Rd, Castle Hayne, NC 28429-5112 2011-06-14
1659680676 Winifred H Amox Pharmacist 5712 Castle Hayne Rd, Castle Hayne, NC 28429-5112 2010-09-26
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1831715663 John Wheary Physician Assistant 3233 Austin Ave, New Bern, NC 28562-7084 2020-06-17
1629692439 Julie Anne Augustine Physician Assistant 718 S Green St, Winston Salem, NC 27101-5112 2020-06-08
1659995710 Kristopher Neal Priddy Physician Assistant 405 Forest Hill Dr, Shelby, NC 28150-5520 2020-06-04
1710500558 Christian Wright Fulenwider Physician Assistant 104 Linden St, Morganton, NC 28655-3788 2020-05-27
1366065500 Lisa Lynn Carder Physician Assistant 904 Foxcroft Cir Apt D, Shelby, NC 28152-6868 2020-05-22
1982234282 Brandon Sorkin Physician Assistant 280 Executive Park Drive, Suite 100, Concord, NC 28025-2802 2020-01-25
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Competitor

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City CASTLE HAYNE
Zip Code 28429

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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