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1285691998
BETSY W SOUTHERN
WINSTON SALEM, NC
NPI
1285691998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-00149)
Enumeration Date
2006-04-27
Last Update Date
2016-03-16
Business Address
Mrs. BETSY W SOUTHERN PA-C
145 KIMEL PARK DR 330
WINSTON SALEM, NC 27103-6984
Phone number: 336-765-6181
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Mailing Address
Mrs. BETSY W SOUTHERN PA-C
145 KIMEL PARK DR 330
WINSTON SALEM, NC 27103-6984
Phone number: 336-765-6181
Copy
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