Most Relevant Information
Provider Data
| NPI Number: | 1003290263 |
| Provider Name: | SETH RYAN ANDERSON PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 0010-05855 |
Most Important Dates
| Enumeration Date: | 07/16/2015 |
| Last Updated: | 07/16/2015 |
Provider Practice Location
3001 LYNDHURST AVE
WINSTON SALEM
NC
271034007
Practice Location Phone/Fax
| Phone: | 3367650383 |
| Fax: |
Provider Mailing Location
3001 LYNDHURST AVE
WINSTON SALEM
NC
271034007
Provider Mailing Phone/Fax
| Phone: | 3367650383 |
| Fax: |