Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SIDNEY WILSON LAVENDER II, PAC
ActiveSIDNEY WILSON LAVENDER II, PAC is a Surgical Physician Assistant healthcare provider located in WINSTON SALEM, North Carolina. NPI 1609859313 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · WINSTON SALEM, NC
Registration Details
- NPI Number
- 1609859313
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 28, 2005 (20.695850971827 yrs)
- Last Updated
- Aug 20, 2010
- License
-
000100189 (NC)
Practice Information
- Address
-
MEDICAL CENTER BLVDWINSTON SALEM, NC, 271570001Browse NC providers · Browse ZIP 27157
- Phone
- 3367162255
- Fax
- 3367163348
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in WINSTON SALEM, NC
| Name | Credential | NPI |
|---|---|---|
| CHARLES ANDREW MARTIN | PAC | 1124002589 |
| ROBERT HENRY HOLLIDAY JR. | PAC | 1942284302 |
| FRANK CARUSO | PA | 1184608556 |
| RANDAL ALEXANDER PARKS | PAC | 1265416630 |
| HAROLD SCOTT RUDICIL | PA | 1053395434 |
| JOHN EDWIN DOBBINS | PAC | 1235114687 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.