Embrenche | |
1001 S Marshall St Ste 262 1001 S Marshall Street Suite 262 Winston Salem NC 27101-5852 | |
(336) 722-8055 | |
(336) 722-4161 |
Full Name | Embrenche |
---|---|
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 1001 S Marshall St Ste 262, Winston Salem, North Carolina |
Authorized Official Name and Position | Marty Hickman (DIRECTOR) |
Authorized Official Contact | 3366249618 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Embrenche 1001 S Marshall St Ste 262 1001 S Marshall Street Suite 262 Winston Salem NC 27101-5852 Ph: (336) 722-8055 | Embrenche 1001 S Marshall St Ste 262 1001 S Marshall Street Suite 262 Winston Salem NC 27101-5852 Ph: (336) 722-8055 |
NPI Number | 1295870194 |
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Provider Enumeration Date | 02/20/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295870194 | NPI | - | NPPES |
6005992 | Medicaid | NC |
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