Susan Marra in Winston Salem - Physician Assistant
Susan Marra - NPI 1275579229
Susan Marra is a Physician Assistant in Winston Salem, North Carolina. Susan Marra practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Susan Marra is 1275579229. The last update date is 2011-03-07.
Susan Marra'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 Susan Marra is 3010 Trenwest Dr, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Marra |
|---|---|
| Address | 3010 Trenwest Dr, Winston Salem, North Carolina |
| Phone Number | 3369705000 |
| Fax Number | 3369705298 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1275579229 |
|---|---|
| Provider Enumeration Date | 2006-06-20 |
| Last Updated Date | 2011-03-07 |
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 | 102866 |
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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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What is the Susan Marra's 1275579229?
The Susan Marra's NPI (National Provider Identifier) Number is 1275579229. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Susan Marra?
The Susan Marra is situated at 3010 Trenwest Dr, in the city of Winston Salem, state of NC, with the zip code 271033208.
What is the Susan Marra's specialty and taxonomy code?
The Susan Marra's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did Susan Marra receive its 1275579229 assignment from the Centers for Medicare & Medicaid Services?
The Susan Marra was assigned its 1275579229 on 2006-06-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Susan Marra most recently updated?
The details pertaining to the Susan Marra, including its address, specialty, and other relevant information, were last refreshed on 2011-03-07.
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