| Turtledove, Llc | |
|
2594 Reynolda Rd Ste D Winston Salem NC 27106-4601 | |
| (336) 978-5324 | |
| Not Available |
| Full Name | Turtledove, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2594 Reynolda Rd Ste D, Winston Salem, North Carolina |
| Authorized Official Name and Position | Renee Colclough Hinson (SOLE MEMBER) |
| Authorized Official Contact | 3369785324 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Turtledove, Llc 970 Forest Grove Dr Winston Salem NC 27104-1445 Ph: (336) 978-5324 | Turtledove, Llc 2594 Reynolda Rd Ste D Winston Salem NC 27106-4601 Ph: (336) 978-5324 |
| NPI Number | 1720724669 |
|---|---|
| Provider Enumeration Date | 05/11/2022 |
| Last Update Date | 05/11/2022 |
| Certification Date | 05/11/2022 |
| Medicare PECOS PAC ID | 0042699175 |
|---|---|
| Medicare Enrollment ID | O20220621002166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720724669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Renee Colclough Hinson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770893596 PECOS PAC ID: 1951780089 Enrollment ID: I20220621002218 |
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