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NPI Code Detail

MEDICARE: JAMES E. WESTBROOK P.A.

MEDICARE: JAMES E. WESTBROOK P.A.
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 Assistant100222NC

General Provider Information

NPI Number : 1699751933
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES E. WESTBROOK P.A.
Provider Business Mailing Address
First Line : PO BOX 609
Second Line : 1370 WEST D STREET
City : WINSTON-SALEM
State : NC
Zip : 28659-0609
Country : US
Telephone Number : 336-651-8100
Fax Number :
Provider Business Practice Location Address
First Line : 1370 WEST D STREET
Second Line : EMERGENCY DEPT.
City : NORTH WILKESBORO
State : NC
Zip : 28659-3506
Country : US
Telephone Number : 336-651-8100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2005
Last Update Date : 07/08/2007

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