| Sidney Wilson Lavender Ii, PAC | |
|
Medical Center Blvd, Winston Salem, NC 27157-0001 | |
| (336) 716-2255 | |
| (336) 716-3348 |
| Full Name | Sidney Wilson Lavender Ii |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | Medical Center Blvd, Winston Salem, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609859313 | NPI | - | NPPES |
| 7008754 | Other | AETNA | |
| 94713 | Other | NC | MEDCOST |
| 5554 | Other | NC | PARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 000100189 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Sidney Wilson Lavender Ii, PAC Po Box 344, Winston Salem, NC 27102-0344 Ph: (336) 716-2255 | Sidney Wilson Lavender Ii, PAC Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2255 |
Mr. Kamron York Benfield, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-4838 Fax: 336-716-7771 | |
Andrea Whitley Peyton, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2011 | |
Seth Ryan Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3001 Lyndhurst Ave, Winston Salem, NC 27103 Phone: 336-765-0383 | |
Bonnie Lynn Gaudin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Emergency Department, Winston Salem, NC 27103 Phone: 336-275-3325 Fax: 336-275-5346 | |
Ralph Denton Updyke Jr., PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-7041 Fax: 336-718-9622 | |
Richard W Trombley, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4410 Providence Ln, Winston Salem, NC 27106 Phone: 615-778-4066 | |
Mr. Kyle Timothy Roberts, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-7080 Fax: 336-718-9622 |