Provider Demographics
NPI:1598741985
Name:LINDSLEY, ALAN DENNIS (PHYSCIAN ASSISTANT)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:DENNIS
Last Name:LINDSLEY
Suffix:
Gender:M
Credentials:PHYSCIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-3223
Mailing Address - Country:US
Mailing Address - Phone:910-875-1032
Mailing Address - Fax:
Practice Address - Street 1:3351 SOUTH PEAK DR
Practice Address - Street 2:HOPE MILLS MEDICAL HOME
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28306
Practice Address - Country:US
Practice Address - Phone:910-908-4673
Practice Address - Fax:910-908-2241
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101993363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical