Individual
MRS. ELIZABETH GRACE ST. AMAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-7970
(336) 716-5687
Mailing address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-7970
(336) 716-5687
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0010-10294
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-10294
NCMB PA LICENSE NUMBER
NC
Enumeration date
07/06/2020
Last updated
07/06/2020
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