Individual provider · Type 1 NPI

Sue H. Maultsby, PA

Medical Physician Assistant · Winston Salem, NC

NPI number 1972570448 Active

Practice location

4692 Brownsboro Rd
Winston Salem, NC 27106-3410

Fax (336) 251-1115

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X100307 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1972570448

Sue H. Maultsby, PA's National Provider Identifier is 1972570448, issued on Mar 3, 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 Feb 9, 2011.