Individual
TANNA ROSE DORSHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2011
Mailing address
3934 GEORGE RD, WISCONSIN RAPIDS, WI 54495-9371
(715) 570-4016
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NC
363AM0700X
Medical Physician Assistant
Primary
—
NC
Other
Enumeration date
01/15/2026
Last updated
05/01/2026
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