Summit Sleep Disorder Center, Pa | |
160 Charlois Blvd Winston Salem NC 27103-1522 | |
(336) 768-5834 | |
(336) 765-4889 |
Full Name | Summit Sleep Disorder Center, Pa |
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Speciality | Psychiatry & Neurology - Sleep Medicine |
Location | 160 Charlois Blvd, Winston Salem, North Carolina |
Authorized Official Name and Position | Patricia C Pulliam (VICE PRESIDENT ADMINISTRATION) |
Authorized Official Contact | 3367685834 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Summit Sleep Disorder Center, Pa 160 Charlois Blvd Winston Salem NC 27103-1522 Ph: (336) 768-5834 | Summit Sleep Disorder Center, Pa 160 Charlois Blvd Winston Salem NC 27103-1522 Ph: (336) 768-5834 |
NPI Number | 1952427650 |
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Provider Enumeration Date | 03/22/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1952427650 | NPI | - | NPPES |
00326 | Other | NC | BLUE CROSS BLUE SHIELD NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084S0012X | Psychiatry & Neurology - Sleep Medicine | 19652 (North Carolina) | Primary |
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