Gray Sappenfield Moulton | |
118 S Cherry St Ste D Kernersville NC 27284-2764 | |
(336) 287-7353 | |
Not Available |
Full Name | Gray Sappenfield Moulton |
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Speciality | Community/behavioral Health |
Location | 118 S Cherry St Ste D, Kernersville, North Carolina |
Authorized Official Name and Position | Leslie Alexander (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 6157635546 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gray Sappenfield Moulton 118 S Cherry St Ste D Kernersville NC 27284-2764 Ph: (336) 287-7353 | Gray Sappenfield Moulton 118 S Cherry St Ste D Kernersville NC 27284-2764 Ph: (336) 287-7353 |
NPI Number | 1144885278 |
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Provider Enumeration Date | 05/03/2019 |
Last Update Date | 05/03/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144885278 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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