Provider Demographics
NPI:1891078754
Name:VAN EVERY, SANDY CHARLES (PA-C)
Entity Type:Individual
Prefix:MR
First Name:SANDY
Middle Name:CHARLES
Last Name:VAN EVERY
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2711 RANDOLPH RD STE 305
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28207-2027
Mailing Address - Country:US
Mailing Address - Phone:704-334-0600
Mailing Address - Fax:704-334-0615
Practice Address - Street 1:2711 RANDOLPH RD STE 305
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28207-2027
Practice Address - Country:US
Practice Address - Phone:704-334-0600
Practice Address - Fax:704-334-0615
Is Sole Proprietor?:No
Enumeration Date:2011-09-27
Last Update Date:2018-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-06874363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical