Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MALLORY DEANNE FAIRWEATHER, PA-C
ActiveMS. MALLORY DEANNE FAIRWEATHER, PA-C is a Medical Physician Assistant healthcare provider located in FAYETTEVILLE, North Carolina. NPI 1770224438 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · FAYETTEVILLE, NC
Registration Details
- NPI Number
- 1770224438
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 6, 2022 (4.3788119614054 yrs)
- Last Updated
- Aug 11, 2025
Practice Information
- Address
-
1638 OWEN DRFAYETTEVILLE, NC, 283043424Browse NC providers · Browse ZIP 28304
- Phone
- 9106154000
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in FAYETTEVILLE, NC
| Name | Credential | NPI |
|---|---|---|
| YVONNE W LEWIS | PA-C | 1578552261 |
| MR. ALAN DENNIS LINDSLEY | PHYSCIAN ASSISTANT | 1598741985 |
| EDWARD NICHOLAS KING | PA-C | 1649249327 |
| MR. MARTIN ROBERT SAWYER | PA-C | 1689635146 |
| STEPHEN S KAPA | PA | 1174571400 |
| MR. JOSEPH MICHAEL ARCE | PA-C | 1316990773 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.