Provider Demographics
NPI:1114080819
Name:SEARS, MARY FRANCES VASSUAR (PAC)
Entity Type:Individual
Prefix:MRS
First Name:MARY FRANCES
Middle Name:VASSUAR
Last Name:SEARS
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Gender:F
Credentials:PAC
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Mailing Address - Street 1:1701 WESTCHESTER DR
Mailing Address - Street 2:SUITE 850
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7008
Mailing Address - Country:US
Mailing Address - Phone:336-802-2536
Mailing Address - Fax:336-802-2534
Practice Address - Street 1:212 29TH AVE NE
Practice Address - Street 2:SUITE 2
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-1084
Practice Address - Country:US
Practice Address - Phone:828-485-2762
Practice Address - Fax:828-485-2257
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2015-03-20
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Provider Licenses
StateLicense IDTaxonomies
NC0010-00277363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1114080819Medicaid
NCNCM353AMedicare UPIN