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NPI Code Detail

MEDICARE: SHEILA MARSHALL VERNON PA

MEDICARE: SHEILA MARSHALL VERNON PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant0101209NC

General Provider Information

NPI Number : 1437126513
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEILA MARSHALL VERNON PA
Provider Business Mailing Address
First Line : 300 W NORTHWOOD ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27401-1324
Country : US
Telephone Number : 336-275-0927
Fax Number : 336-275-4834
Provider Business Practice Location Address
First Line : 300 W NORTHWOOD ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27401-1324
Country : US
Telephone Number : 336-275-0927
Fax Number : 336-275-4834
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 07/08/2007

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Directions to “ SHEILA MARSHALL VERNON PA” Practice Location

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