Individual
AMY SUSAN ESTERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
520 N ELAM AVE, GREENSBORO, NC 27403-1127
(336) 547-1700
Mailing address
PO BOX 890195, CHARLOTTE, NC 28289-0195
(336) 547-1877
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
101021
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B9297
MEDCOST
NC
Enumeration date
07/05/2006
Last updated
09/17/2021
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