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160 Kimel Forest Dr Ste 100 Winston Salem NC 27103-6084 | |
| (336) 883-0029 | |
| (336) 899-2176 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 160 Kimel Forest Dr Ste 100, Winston Salem, North Carolina |
| Authorized Official Name and Position | Lenin J Peters (CEO) |
| Authorized Official Contact | 3368830029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
507 N Lindsay St High Point NC 27262-4303 Ph: (336) 883-0029 | 160 Kimel Forest Dr Ste 100 Winston Salem NC 27103-6084 Ph: (336) 883-0029 |
| NPI Number | 1528554631 |
|---|---|
| Provider Enumeration Date | 07/02/2018 |
| Last Update Date | 02/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528554631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208VP0000X | Pain Medicine - Pain Medicine | (* (Not Available)) | Secondary |
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