Provider Demographics
NPI:1780424093
Name:BARBOUR, ABBY JEAN (PA-C)
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:JEAN
Last Name:BARBOUR
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7450 RALEIGH RD
Mailing Address - Street 2:
Mailing Address - City:BENSON
Mailing Address - State:NC
Mailing Address - Zip Code:27504-7160
Mailing Address - Country:US
Mailing Address - Phone:919-820-1728
Mailing Address - Fax:
Practice Address - Street 1:13620 REESE BLVD E STE 125
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-6584
Practice Address - Country:US
Practice Address - Phone:704-801-7340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-27
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant