Side Mitchell Mack Jr., PA
Side Mitchell Mack Jr., PA is a Physician Assistant in Greensboro, North Carolina. Qualified in 2005, 21 years ago. Practices with Carolina Medicorp Enterprises LLC, a 185-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.
- Years since qualifying
- 21
- Licensed in
- NC
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
1309 Lees Chapel RdGreensboro, NC 27455-2601
Phone: (336) 286-5505
Fax: (336) 288-2900
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 1200 N Elm St, Greensboro, NC 27401-1004 — (336) 716-2255
- 794 S Main St Ste B, Kernersville, NC 27284-4074 — (336) 904-2317
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 0010-00323 (NC) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 1000323 (NC) |
Record details
| NPI number | 1740232966 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | May 16, 2006 |
| Last updated in NPPES | February 1, 2022 |
| Certification date | February 1, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2005 (21 years in practice) |
| Group practice | Carolina Medicorp Enterprises Llc — 185 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 7 on file with Medicare |
Other providers in Greensboro
-
Mr. Scott David Long, PA-C
1309 Lees Chapel Rd, Greensboro, NC 27455-2601 · (336) 800-8958
-
Kimberly Trinh Love, PA-C
2704 Henry St, Greensboro, NC 27405 · (336) 621-3777
-
MS. Pamela Love, PA
510 N Elam Ave Ste 302, Greensboro, NC 27403-1150 · (336) 297-2271
-
Christie Ann Lucey, PA-C
200 W Wendover Ave, Greensboro, NC 27401-1307 · (843) 685-6540
-
Mr. Michael Marconi Maczis, PA-C
3903 N Elm St, Greensboro, NC 27455-2877 · (336) 713-4500
-
Puja Gosai Maczis, PA
1002 N Church St Ste 302, Greensboro, NC 27401-1449 · (336) 387-8100
-
Mr. Charles Luke Magnant, PA-C
1211 Virginia St, Greensboro, NC 27401-1313 · (336) 275-0927
-
Christen Renee Mahaffey, PA-C
1220 Magnolia St Fl 5, Greensboro, NC 27401-1309 · (336) 938-0800