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Eugene Henry Thiebaud, PAC
Surgical Physician Assistant in Winston Salem, North Carolina
NPI 1306821269

Eugene Henry Thiebaud is a Surgical Physician Assistant based in Charlotte, NC and is specialized in Surgical. Eugene Henry Thiebaud practices in Winston Salem, NC and has the professional credentials of PAC. The NPI Number for Eugene Henry Thiebaud is 1306821269 and holds a License No. 101957 (North Carolina).

The current practice location address for Eugene Henry Thiebaud is Bldg 200, Robinhood Medical Plaza, Winston Salem, NC and can be reached out via phone at 336-718-7950 and via fax at 336-718-7989.

Location: Bldg 200, Robinhood Medical Plaza, Winston Salem, NC, 28260-0447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306821269
Provider Name
Eugene Henry Thiebaud
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
Bldg 200, Robinhood Medical Plaza, Winston Salem, NC, 28260-0447
Phone Number
336-718-7950
Fax Number
336-718-7989
Provider Enumeration Date
12/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
94709 01 MEDCOST
970025236 01 RR MEDICARE
7400798 01 AETNA
institution
Provider Business Practice Location Address Details
Address
Bldg 200, Robinhood Medical Plaza
City
Winston Salem
State
North Carolina
Zip
27106-5475
Phone Number
336-718-7950
Fax Number
336-718-7989
person
Provider Business Mailing Address Details
Address
Bldg 200, Robinhood Medical Plaza
City
Winston Salem
State
North Carolina
Zip
27106-5475
Phone Number
336-718-7950
Fax Number
336-718-7989
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
000101957 (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
Surgical
Taxonomy
363AS0400X
License No.
101957 (North Carolina)
Definition
Definition to come...
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