Anne Tyson Vance PA-C

NPI 1487068540 - Physician Assistant - 363A00000X

NPI Details
NPI 1487068540
Gender Female
Enumeration Date 06/17/2014
Last Updated 06/17/2014
Entity Type Individual
Active Over 3 years ago
Practice Location
2020 PEACEHAVEN RD.
WINSTON-SALEM NC, 27106, US
Phone (336) 768-1280
Fax
Business Location
2020 PEACEHAVEN RD.
WINSTON-SALEM NC, 27106, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State North Carolina
License Number 0010-05035
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According to our database, Miss Anne Tyson Vance PA-C NPI is 1487068540, taxonomy code is 363A00000X and license number is 0010-05035, license state is located at North Carolina. Anne Tyson Vance PA-C physically located at 2020 Peacehaven Rd., Winston-salem NC, 27106. NPI Number Anne Tyson Vance PA-C has the Individual type.

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1487068540 NPI number is provided on an as is basis without warranty of any kind. 1487068540 is maintained by the National Plan & Provider Enumeration System. The contents of Anne Tyson Vance PA-C are for informational purposes only.