Provider Demographics
NPI:1568975746
Name:DOUGLAS, EMILY BARTON (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:EMILY
Middle Name:BARTON
Last Name:DOUGLAS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:27 DOCTORS DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-7209
Mailing Address - Country:US
Mailing Address - Phone:828-687-3800
Mailing Address - Fax:828-687-1814
Practice Address - Street 1:27 DOCTORS DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-7209
Practice Address - Country:US
Practice Address - Phone:828-687-3800
Practice Address - Fax:828-687-1814
Is Sole Proprietor?:No
Enumeration Date:2017-11-10
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2886363A00000X
NC0010-08779363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant