Provider Demographics
NPI:1033202338
Name:SAVERY, ALLYSON M (PA-C, MS)
Entity Type:Individual
Prefix:MRS
First Name:ALLYSON
Middle Name:M
Last Name:SAVERY
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Gender:F
Credentials:PA-C, MS
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Mailing Address - Street 1:903 NORTHEAST DR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:DAVIDSON
Mailing Address - State:NC
Mailing Address - Zip Code:28036-7416
Mailing Address - Country:US
Mailing Address - Phone:704-894-9309
Mailing Address - Fax:704-894-9304
Practice Address - Street 1:276 OLD MOCKSVILLE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28625-1949
Practice Address - Country:US
Practice Address - Phone:704-883-8660
Practice Address - Fax:704-883-8661
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2016-06-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-00060363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
P54472Medicare UPIN