Provider Demographics
NPI:1265902852
Name:FAIRLEY, CHELSEA MARIE (PA-C)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:MARIE
Last Name:FAIRLEY
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:200 PAVILION WAY
Mailing Address - Street 2:
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28387-4561
Mailing Address - Country:US
Mailing Address - Phone:910-235-3136
Mailing Address - Fax:910-235-3422
Practice Address - Street 1:200 PAVILION WAY
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-4561
Practice Address - Country:US
Practice Address - Phone:910-235-3136
Practice Address - Fax:910-235-3422
Is Sole Proprietor?:No
Enumeration Date:2018-11-27
Last Update Date:2022-04-04
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant