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Individual

JOHN HERBERT CAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
314 QUIETWOOD DR, WINSTON SALEM, NC 27103-6950
(336) 995-3542
Mailing address
314 QUIETWOOD DR, WINSTON SALEM, NC 27103-6950
(336) 995-3542

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-05376
NC
363A00000X
Physician Assistant
PA1554
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1760702039
NC
05
7100123110
KY
Enumeration date
06/09/2010
Last updated
07/17/2023
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