Dr SIR W FUNCHESS JR. is a male medical professional, specializing in Physician Assistant. He graduated in 2003.
CAROLINAS PHYSICIANS NETWORK, INC.
6030 W HWY 74
INDIAN TRAIL
NC
280793469
Tel:
| Npi | 1740407303 |
| Pac Id | 6800975004 |
| Professional Enrollment Id | I20080429000664 |
| Last Name | FUNCHESS |
| First Name | SIR |
| Middle Name | W |
| Suffix | JR. |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | CAROLINAS PHYSICIANS NETWORK, INC. |
| Group Practice Pac Id | 3375449655 |
| Number Of Group Practice Members | 1123 |
| Line 1 Street Address | 6030 W HWY 74 |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | INDIAN TRAIL |
| State | NC |
| Zip Code | 280793469 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 340113 |
| Hospital Affiliation Lbn 1 | CAROLINAS MEDICAL CENTER/BEHAV HEALTH |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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