person
Ms. Carol Sue Cdebaca, PA-C
Surgical Physician Assistant in Salem, Virginia
NPI 1154518900

Carol Sue Cdebaca is a Surgical Physician Assistant based in Roanoke, VA and is specialized in Surgical. Carol Sue Cdebaca practices in Salem, VA and has the professional credentials of PA-C. The NPI Number for Carol Sue Cdebaca is 1154518900 and holds a License No. 0110002628 (Virginia).

The current practice location address for Carol Sue Cdebaca is 101 Knotbreak Rd, Salem, VA and can be reached out via phone at 540-444-4020 and via fax at 540-857-5306. You can also correspond with Carol Sue Cdebaca through the mailing address at 2331 FRANKLIN RD SW, ROANOKE, VA - 24014-1111 (mailing address contact number: 540-725-1226).

Location: 101 Knotbreak Rd, Salem, VA, 24014-1111
person
Provider Profile Details
NPI Number
1154518900
Provider Name
Carol Sue Cdebaca
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
101 Knotbreak Rd, Salem, VA, 24014-1111
Phone Number
540-444-4020
Fax Number
540-857-5306
Provider Enumeration Date
09/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1154518900 01 VA SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
P01464014 01 VA RAILROAD MEDICARE
1154518900 01 VA IN TOTAL
1154518900 01 VA MEDICAID QMB
1154518900 01 VA AETNA
1154518900 01 VA CCC VIRGINIA PREMIER
1154518900 01 VA OPTIMA HEALTH PLAN
540506332115 01 VA TRICARE
1154518900 01 VA HUMANA MEDICARE
1154518900 01 VA ANTHEM MEDIGAP
institution
Provider Business Practice Location Address Details
Address
101 Knotbreak Rd
City
State
Zip
24153-5404
Phone Number
540-444-4020
Fax Number
540-857-5306
person
Provider Business Mailing Address Details
Address
101 Knotbreak Rd
City
State
Zip
24153-5404
Phone Number
540-444-4020
Fax Number
540-857-5306
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
0110002628 (Virginia)
Definition
Definition to come...
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