Provider Demographics
NPI:1588837108
Name:RHODES, ALISON SUE (PA-C)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:SUE
Last Name:RHODES
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 1:697 TABARD RD
Mailing Address - Street 2:
Mailing Address - City:WINTERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28590-9191
Mailing Address - Country:US
Mailing Address - Phone:215-939-0838
Mailing Address - Fax:
Practice Address - Street 1:FASTMED URGENT CARE
Practice Address - Street 2:107 WEST HARGETT ST SUITE 107
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27601
Practice Address - Country:US
Practice Address - Phone:919-550-0821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-03
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMAO52596363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical