| Doctor Name: | BONNIE LYNN GAUDIN |
| NPI Number: | 1003805110 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | |
| Business Practice Address: | 3333 Silas Creek Pkwy Emergency Department Winston Salem, NC - 271033013 |
| Business Phone Number: | 3362753325 |
| Business Fax Number: | 3362755346 |
| Mailing Address: | Po Box 75332, CHARLOTTE |
| State: | NC |
| Postal Code: | 282750332 |
| Phone Number: | 3367685762 |
| Fax Number: | |
| NPI Enumeration Date: | 10/20/2005 |
| NPI Last Update Date: | 02/03/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |