Individual
MRS. CATHERINE C LEGRANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3010 TRENWEST DR, WINSTON SALEM, NC 27103-3208
(336) 718-5844
(336) 970-5298
Mailing address
3010 TRENWEST DR, WINSTON SALEM, NC 27103-3208
(336) 718-5844
(336) 970-5298
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-00545
NC
363A00000X
Physician Assistant
PA.200364
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0598PA
—
SC
05
—
2127276
—
LA
Enumeration date
08/27/2006
Last updated
08/26/2016
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