Individual provider · Type 1 NPI

Eugene Henry Thiebaud, PAC

Physician Assistant · Winston Salem, NC

NPI number 1306821269 Active

Practice location

Bldg 200, Robinhood Medical Plaza
Winston Salem, NC 27106-5475

Fax (336) 718-7989

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X101957 (NC)
Surgical Physician Assistant 363AS0400X000101957 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1306821269

Eugene Henry Thiebaud, PAC's National Provider Identifier is 1306821269, issued on Dec 13, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Winston Salem, NC. The record was last updated on Oct 14, 2014.