Sarah Xiao Jing Dao, PA
Physician Assistant in Spartanburg, SC. Individual provider (NPI-1).
NPI number1053910596
StatusActive
Last updated in NPPESJun 19, 2024
Details
- NPI
- 1053910596
- Entity type
- Individual (NPI-1)
- Name
- Sarah Xiao Jing Dao
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 24, 2020
- Certification date
- Jun 19, 2024
- Last updated
- Jun 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 3871 | SC | Yes |
| 363A00000X | Physician Assistant | – | – | |
| 363A00000X | Physician Assistant | 0010-12293 | NC |
Practice location
1330 Boiling Springs Rd Ste 1600Spartanburg, SC 29303-4219
Phone 864-582-6396
Mailing address
1330 Boiling Springs Rd Ste 1600Spartanburg, SC 29303-4219
Phone 864-582-6396 · Fax 648-582-1608
Other practice locations
Medical Center Blvd
Winston Salem, NC 27157-0001
Winston Salem, NC 27157-0001
Phone 336-716-2255 · Fax 336-716-3202
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