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Wylder Shepherd Fondaw, PA
Physician Assistant in Greensboro, North Carolina
NPI 1205450400

Wylder Shepherd Fondaw is a Physician Assistant based in Johnson City, NC. Wylder Shepherd Fondaw practices in Greensboro, NC and has the professional credentials of PA. The NPI Number for Wylder Shepherd Fondaw is 1205450400 and holds a License No. (North Carolina).

The current practice location address for Wylder Shepherd Fondaw is 1126 N Church St, Greensboro, NC and can be reached out via phone at 336-832-7000.

Location: 1126 N Church St, Greensboro, NC, 37604-7143
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205450400
Provider Name
Wylder Shepherd Fondaw
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1126 N Church St, Greensboro, NC, 37604-7143
Phone Number
336-832-7000
Fax Number
Provider Enumeration Date
06/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1126 N Church St
City
Greensboro
State
North Carolina
Zip
27401-1000
Phone Number
336-832-7000
Fax Number
person
Provider Business Mailing Address Details
Address
1126 N Church St
City
Greensboro
State
North Carolina
Zip
27401-1000
Phone Number
336-832-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
0010-10234 (North Carolina)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
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