Individual
MS. CASSIDY DANAE VIGIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2580
(336) 716-5324
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-6674
(336) 716-9188
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11397
NC
363AM0700X
Medical Physician Assistant
0010-11397
NC
Other
Enumeration date
06/30/2021
Last updated
04/30/2024
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