TABITA TAVOC
Physician Assistant
Active
Individual
NPI: 1790309607
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 0010-09627 (NC) |
Frequently Asked Questions
NPI 1790309607 is the National Provider Identifier for TABITA TAVOC, a Physician Assistant provider located in Winston Salem, NC. This NPI was enumerated on June 5, 2020.
TABITA TAVOC practices at 186 KIMEL PARK DR, Winston Salem, NC 27103.
Quick Facts
- NPI
- 1790309607
- Type
- Individual
- Enumerated
- Jun 5, 2020
- Last Updated
- Nov 20, 2025
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