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NPI Code Detail

MEDICARE: SANDRA JANE SETZER PA-C

MEDICARE: SANDRA JANE SETZER 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
1363A00000XPhysician Assistant0010-10490NC
2363AS0400XSurgical Physician Assistant003106GA
3363AS0400XSurgical Physician Assistant0010-10490NC

General Provider Information

NPI Number : 1902001001
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA JANE SETZER PA-C
Provider Business Mailing Address
First Line : 1126 N CHURCH ST STE 103
Second Line :
City : GREENSBORO
State : NC
Zip : 27401-1035
Country : US
Telephone Number : 336-663-4900
Fax Number : 336-663-4920
Provider Business Practice Location Address
First Line : 1126 N CHURCH ST STE 103
Second Line :
City : GREENSBORO
State : NC
Zip : 27401-1035
Country : US
Telephone Number : 336-663-4900
Fax Number : 336-663-4920
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2007
Last Update Date : 03/08/2024

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Directions to “ SANDRA JANE SETZER PA-C” Practice Location

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