Individual provider · Type 1 NPI

Miranda Jean Weavil, PA-C

Physician Assistant · Winston Salem, NC

NPI number 1356058358 Active

Practice location

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013

Call (336) 718-5570 Map

Fax (336) 718-5569

Mailing address

PO Box 935983
Atlanta, GA 31193-5983

Other practice locations

  • 1010 Bethesda Ct, Winston Salem, NC 27103-3019 · (336) 718-5570

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0010-12687 (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 1356058358

Miranda Jean Weavil, PA-C's National Provider Identifier is 1356058358, issued on Oct 31, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Winston Salem, NC. The record was last updated on Jul 2, 2026.