Individual
JEFFREY WAREN HINSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1370 W D ST, N WILKESBORO, NC 28659-3506
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
101763
NC
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
101763
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7733677
AETNA
—
01
—
94703
MEDCOST
NC
Enumeration date
12/02/2005
Last updated
02/14/2018
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