Provider Demographics
NPI:1801180690
Name:MESSENGER, MARY CHARLES MCARTHUR (PA-C)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:CHARLES MCARTHUR
Last Name:MESSENGER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:CHARLES
Other - Last Name:MCARTHUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:15 YORKSHIRE ST STE 201
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-7785
Mailing Address - Country:US
Mailing Address - Phone:828-274-1600
Mailing Address - Fax:828-274-1603
Practice Address - Street 1:15 YORKSHIRE ST STE 201
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-7785
Practice Address - Country:US
Practice Address - Phone:828-274-1600
Practice Address - Fax:828-274-1603
Is Sole Proprietor?:No
Enumeration Date:2011-06-09
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC001002911363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1801180690Medicaid