Individual
AMANDA CAIRNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
195 KIMEL PARK DR STE 200, WINSTON SALEM, NC 27103-6967
(336) 768-6211
(336) 768-6869
Mailing address
195 KIMEL PARK DR STE 200, WINSTON SALEM, NC 27103-6967
(336) 768-6211
(336) 768-6869
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11660
NC
363A00000X
Physician Assistant
1188369
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-11660
NCMB
NC
Enumeration date
09/24/2021
Last updated
08/07/2024
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