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Individual

CYNTHIA S VAIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
301 MAIN ST, NEWTON GROVE, NC 28366
(910) 594-0003
(802) 872-0282
Mailing address
412 HOLLY BERRY LN, SELMA, NC 27576-5514
(207) 831-0617
(802) 872-0282

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-657
ME
363A00000X
Physician Assistant
Primary
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
269220099
ME
Enumeration date
06/11/2006
Last updated
10/30/2025
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