Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAINE C ETZEL, PA-C
ActiveBLAINE C ETZEL, PA-C is a Physician Assistant healthcare provider located in SMITHFIELD, North Carolina. NPI 1881686590 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SMITHFIELD, NC
Registration Details
- NPI Number
- 1881686590
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 18, 2005 (20.989645994859 yrs)
- Last Updated
- Sep 23, 2020
- Licenses
-
PA10004050 (WA)299 (MT)0010-10604 (NC)
Practice Information
- Address
-
100 KELLIE DRSMITHFIELD, NC, 275779444Browse NC providers · Browse ZIP 27577
- Phone
- 9192205255
- Fax
- 9193131276
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in SMITHFIELD, NC
| Name | Credential | NPI |
|---|---|---|
| DR. STEVEN AVERY KELHAM | PA-C | 1417931130 |
| JOSEF RIVERO | PA-C | 1811974520 |
| DALE J RUSH | PA-C | 1336126085 |
| MICHAEL M LEHMAN | PA | 1104803865 |
| HAROLD KING JR. | PA | 1649224304 |
| MR. ASHLY COOK | PA-C | 1891728416 |
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.