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NPI Code Detail

MEDICARE: JULIE BETH BAIN PA

MEDICARE: JULIE BETH BAIN 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 Assistant103344NC

General Provider Information

NPI Number : 1831279561
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE BETH BAIN PA
Provider Business Mailing Address
First Line : 5350 S MAIN ST
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27107-9174
Country : US
Telephone Number : 336-784-0505
Fax Number : 336-784-5031
Provider Business Practice Location Address
First Line : 1510 NC HIGHWAY 68 N
Second Line :
City : OAK RIDGE
State : NC
Zip : 27310-9733
Country : US
Telephone Number : 336-644-0111
Fax Number : 336-268-3119
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 02/12/2025

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Directions to “ JULIE BETH BAIN PA” Practice Location

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