Provider Demographics
NPI:1326260951
Name:SCHERER, CHRISTINE THERESA (PA-C)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:THERESA
Last Name:SCHERER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:446 CARATOKE HWY
Mailing Address - Street 2:
Mailing Address - City:MOYOCK
Mailing Address - State:NC
Mailing Address - Zip Code:27958-8672
Mailing Address - Country:US
Mailing Address - Phone:252-435-1275
Mailing Address - Fax:252-435-6293
Practice Address - Street 1:446 CARATOKE HWY
Practice Address - Street 2:
Practice Address - City:MOYOCK
Practice Address - State:NC
Practice Address - Zip Code:27958-8672
Practice Address - Country:US
Practice Address - Phone:252-435-1275
Practice Address - Fax:252-435-6293
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101696363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCS36459Medicare UPIN
NC2762843Medicare ID - Type Unspecified