Most Relevant Information
Provider Data
| NPI Number: | 1003048679 |
| Provider Name: | MICHELLE HERLIHY PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 0010-01835 |
Most Important Dates
| Enumeration Date: | 08/17/2009 |
| Last Updated: | 10/31/2014 |
Provider Practice Location
402 N PINE ST
LUMBERTON
NC
283585563
Practice Location Phone/Fax
| Phone: | 9107391666 |
| Fax: | 9107396822 |
Provider Mailing Location
60 COMMERCE PLAZA CIR
PEMBROKE
NC
283727386
Provider Mailing Phone/Fax
| Phone: | 9105212900 |
| Fax: | 9107759165 |