Individual
JORGE LUIS TAPIA CEDENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3711 ELMSLEY ST STE 101, GREENSBORO, NC 27406-7039
(336) 890-2165
(336) 890-2166
Mailing address
300 E WENDOVER AVE, GREENSBORO, NC 27401-1229
(336) 663-5205
(336) 663-5366
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
6022
NC
363A00000X
Physician Assistant
Primary
0010-15075
NC
Other
Enumeration date
11/03/2016
Last updated
07/16/2025
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