Individual provider · Type 1 NPI

Reamer L. Bushardt, PA-C

Medical Physician Assistant · Winston Salem, NC

NPI number 1821033754 Active

Practice location

Medical Center Blvd
Winston Salem, NC 27157-0001

Call (336) 716-2255 Map

Fax (336) 716-0071

Mailing address

PO Box 344
Winston Salem, NC 27102-0344

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X103699 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1821033754

Reamer L. Bushardt, PA-C's National Provider Identifier is 1821033754, issued on Jun 17, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Winston Salem, NC. The record was last updated on Jan 4, 2012.