Basic Information
Provider Information
NPI: 1043575954
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STERLINA
FirstName: MEGAN
MiddleName: KATHRYN
NamePrefix:  
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: FUCHS
OtherFirstName: MEGAN
OtherMiddleName: KATHRYN
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: PHYSICIANS OFFICE BUILDING
Address2: 170 MANNING DRIVE, 3RD FLOOR, CB #7305
City: CHAPEL HILL
State: NC
PostalCode: 275997305
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: PHYSICIANS OFFICE BUILDING
Address2: 170 MANNING DRIVE, 3RD FLOOR, CB #7305
City: CHAPEL HILL
State: NC
PostalCode: 275997305
CountryCode: US
TelephoneNumber: 9199664431
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/06/2012
LastUpdateDate: 01/25/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000X0010-03585NCY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


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