Provider Demographics
NPI:1225668601
Name:MARKEY, EMILY REBECCA (PA-C)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:REBECCA
Last Name:MARKEY
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 1:10225 HICKORYWOOD HILL AVE STE B
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-3431
Mailing Address - Country:US
Mailing Address - Phone:704-457-9292
Mailing Address - Fax:704-274-5783
Practice Address - Street 1:10225 HICKORYWOOD HILL AVE STE B
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-3431
Practice Address - Country:US
Practice Address - Phone:704-457-9292
Practice Address - Fax:704-274-5783
Is Sole Proprietor?:No
Enumeration Date:2020-01-24
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0010-10308OtherNORTH CAROLINA MEDICAL BOARD
MM6382028OtherDEA