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Individual

DANA SHELBY BIFOLCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-6946
(336) 716-9997
Mailing address
1021 MAIN ST, STE 203, WINCHESTER, MA 01890-1970
(781) 756-2118
(781) 756-7274

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-05774
NC
363A00000X
Physician Assistant
Primary
PA7310
MA

Other

Enumeration date
07/02/2015
Last updated
06/19/2020
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