Individual
DANIELLE KATHLEEN THROWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 277-8800
(336) 277-8850
Mailing address
PO BOX 935983, ATLANTA, GA 31193-5983
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103324
NC
363AM0700X
Medical Physician Assistant
103324
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00457728
RAILROAD MEDICARE
NC
Enumeration date
01/24/2006
Last updated
07/08/2023
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