MEDICARE: MARK ELNO ARCHAMBAULT 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	363AM0700X	Medical Physician Assistant	0010-01083	NC

General Provider Information

NPI Number	:	1881825917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK ELNO ARCHAMBAULT PA-C

Provider Business Mailing Address
First Line	:	DEPARTMENT OF PHYSICIAN ASSISTANT STUDIES
Second Line	:	MEDICAL CENTER BLVD
City	:	WINSTON SALEM
State	:	NC
Zip	:	27157-1006
Country	:	US
Telephone Number	:	336-716-2028
Fax Number	:	336-716-4432

Provider Business Practice Location Address
First Line	:	DEPARTMENT OF PHYSICIAN ASSISTANT STUDIES
Second Line	:	MEDICAL CENTER BLVD
City	:	WINSTON SALEM
State	:	NC
Zip	:	27157-1006
Country	:	US
Telephone Number	:	336-716-2028
Fax Number	:	336-716-4432

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

Provider Enumeration Date	:	08/06/2009
Last Update Date	:	08/06/2009

Similar Medicare Providers

1053267203 — MIKHAILA THERESA MACLAREN
Practice Location Address:

MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC
27157-1006

Practice Phone: 336-716-4356
Practice Fax:

1871441147 — SYDNEY WAYAND
Practice Location Address:

MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC
27157-1006

Practice Phone: 336-716-4356
Practice Fax:

1023133709 — THE ENRICHMENT CENTER-AN AFFILIATED CHAPTER OF THE ARC
Practice Location Address:

1006 S MARSHALL ST
WINSTON SALEM, NC
27101

Practice Phone: 336-777-0076
Practice Fax: 336-777-0520

1881262061 — KATHRYN HEWITT LCMHC
Practice Location Address:

3000 BETHESDA PLACE , SUITE 503 PMB 1006
WINSTON SALEM, NC
27103-2283

Practice Phone: 336-462-9510
Practice Fax:

1992511257 — AUTHENTIC PATHWAYS PLLC
Practice Location Address:

3000 BETHESDA PLACE , SUITE 503 PMB 1006
WINSTON SALEM, NC
27103

Practice Phone: 336-462-9510
Practice Fax:

1730120411 — DR. EFRAIM PANGANIBAN DAVID MD
Practice Location Address:

1970 ROANOKE BLVD , 1A-1006
SALEM, VA
24153-6404

Practice Phone: 540-982-2463
Practice Fax: 540-855-3414

Directions to “ MARK ELNO ARCHAMBAULT PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.