Phornphan Moltane Homiak, PA-C
Phornphan Moltane Homiak, PA-C is a Physician Assistant in Burke, Virginia. Qualified in 2003, 23 years ago. Practices with Rockbridge Area Free Clinic, a 16-clinician group and accepts Medicare assignment. Licensed in North Carolina and Virginia.
- Years since qualifying
- 23
- Licensed in
- NC, VA
- In the registry since
- 2008
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
6035 Burke Centre Pkwy Ste 120Burke, VA 22015-3750
Phone: (703) 425-6010
Fax: (703) 425-7504
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 0110004437 (VA) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 103810 (NC) |
Record details
| NPI number | 1942488374 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | February 7, 2008 |
| Last updated in NPPES | November 18, 2014 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2003 (23 years in practice) |
| Group practice | Rockbridge Area Free Clinic — 16 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Burke
-
Sarah Anne Crosswhite, PA-C
6035 Burke Centre Pkwy Ste 120, Burke, VA 22015-3750 · (703) 425-6010
-
Nathan J McGwin, PA-C
6035 Burke Centre Pkwy Ste 120, Burke, VA 22015-3750 · (703) 425-6010
-
Miroslava Pavlova
5631 Burke Centre Pkwy Ste A, Burke, VA 22015-2234 · (703) 250-5171