Individual
KATHERINE MOSS PAINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-6224
(336) 713-8250
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-8250
(336) 713-8252
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-08161
NC
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
MA061648
PA
Other
Enumeration date
06/07/2018
Last updated
04/26/2024
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