Healthcare Provider Details

I. General information

NPI: 1942670013
Provider Name (Legal Business Name): WILLIAM DUNCAN DANSIE PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2015
Last Update Date: 10/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 N ELM ST WAKE FOREST DEPT OF EM, GSO DIVISION
GREENSBORO NC
27401-1004
US

IV. Provider business mailing address

PO BOX 10367 1200 N. ELM ST
GREENSBORO NC
27404-0367
US

V. Phone/Fax

Practice location:
  • Phone: 336-207-7005
  • Fax: 336-832-8099
Mailing address:
  • Phone: 336-207-7005
  • Fax: 336-832-8099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number0010-06003
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: