Individual
MS. ALEXIS MARIE VAN RYSWYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3333 BROOKVIEW HILLS BLVD STE 204, WINSTON SALEM, NC 27103-5661
(336) 774-3740
(336) 774-3780
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 774-3740
(336) 774-3780
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-14773
NC
Other
Enumeration date
09/02/2024
Last updated
10/28/2024
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