is a Physician Assistant in Winston Salem, North Carolina. practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for is 1326099953. The last update date is .
's current location address is 3010 Trenwest Dr, Winston Salem, North Carolina. You can contact this provider via phone number 3369705000 and fax number 3369705298. The mailing address for is 3010 Trenwest Dr, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 3010 Trenwest Dr, Winston Salem, North Carolina |
| Phone Number | 3369705000 |
| Fax Number | 3369705298 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1326099953 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 3010 Trenwest Dr |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271033208 |
| Phone Number | 3369705000 |
| Fax Number | 3369705298 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 102286 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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