Individual
BETH ANN TALENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2825 LYNDHURST AVE STE 101, WINSTON SALEM, NC 27103-4146
(336) 277-6300
(336) 277-6309
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-01189
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/28/2007
Last updated
02/23/2024
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