MEDICARE: SARA E WERTMAN PA-C

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
1	363A00000X	Physician Assistant	102894	NC

General Provider Information

NPI Number	:	1770704439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA E WERTMAN PA-C

Provider Business Mailing Address
First Line	:	PO BOX 14878
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27415
Country	:	US
Telephone Number	:	336-832-1100
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 E WENDOVER AVE STE 310
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27401-1231
Country	:	US
Telephone Number	:	336-832-3070
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	01/05/2022

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Directions to “ SARA E WERTMAN PA-C” Practice Location

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