Most Relevant Information
Provider Data
| NPI Number: | 1003805110 |
| Provider Name: | BONNIE LYNN GAUDIN PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/20/2005 |
| Last Updated: | 02/03/2009 |
Provider Practice Location
3333 SILAS CREEK PKWY
EMERGENCY DEPARTMENT
WINSTON SALEM
NC
271033013
Practice Location Phone/Fax
| Phone: | 3362753325 |
| Fax: | 3362755346 |
Provider Mailing Location
PO BOX 75332
CHARLOTTE
NC
282750332
Provider Mailing Phone/Fax
| Phone: | 3367685762 |
| Fax: |