| Illumii | |
|
121 Reynolda Vlg Ste A Winston Salem NC 27106-5126 | |
| (336) 893-9018 | |
| (833) 748-0121 |
| Full Name | Illumii |
|---|---|
| Speciality | Clinic/center |
| Location | 121 Reynolda Vlg Ste A, Winston Salem, North Carolina |
| Authorized Official Name and Position | Kristin R Bennett (DIRECTOR) |
| Authorized Official Contact | 3368939018 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illumii 121 Reynolda Vlg Ste A Winston Salem NC 27106-5126 Ph: (336) 893-9018 | Illumii 121 Reynolda Vlg Ste A Winston Salem NC 27106-5126 Ph: (336) 893-9018 |
| NPI Number | 1548885726 |
|---|---|
| Provider Enumeration Date | 06/12/2020 |
| Last Update Date | 06/12/2020 |
| Certification Date | 06/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548885726 | NPI | - | NPPES |
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