Provider Demographics
NPI:1811138126
Name:GILES, YOSEF J SR (PA-C)
Entity type:Individual
Prefix:MR
First Name:YOSEF
Middle Name:J
Last Name:GILES
Suffix:SR
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:PO BOX 935983
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:31193-5983
Mailing Address - Country:US
Mailing Address - Phone:336-718-5570
Mailing Address - Fax:336-718-5569
Practice Address - Street 1:3333 SILAS CREEK PKWY
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-3013
Practice Address - Country:US
Practice Address - Phone:336-718-5570
Practice Address - Fax:336-718-5569
Is Sole Proprietor?:No
Enumeration Date:2009-03-16
Last Update Date:2023-02-07
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Provider Licenses
StateLicense IDTaxonomies
VA0110002854363A00000X
NC0010-12856363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant