Provider Demographics
NPI:1790722395
Name:BARRY, CHRISTOPHER M (PA-C)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:M
Last Name:BARRY
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:101 BENDING BRANCH CT
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-5904
Mailing Address - Country:US
Mailing Address - Phone:919-624-7468
Mailing Address - Fax:
Practice Address - Street 1:555 MEDICAL PARK PL
Practice Address - Street 2:SUITE 208
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-2174
Practice Address - Country:US
Practice Address - Phone:919-359-3500
Practice Address - Fax:919-359-3501
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2013-09-26
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Provider Licenses
StateLicense IDTaxonomies
NC0010-00405363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant