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3409 Thomasville Rd Winston Salem NC 27107-5438 | |
(743) 229-3300 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 3409 Thomasville Rd, Winston Salem, North Carolina |
Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
Authorized Official Contact | 4074477120 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: () - | 3409 Thomasville Rd Winston Salem NC 27107-5438 Ph: (743) 229-3300 |
NPI Number | 1952121451 |
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Provider Enumeration Date | 10/10/2024 |
Last Update Date | 01/24/2025 |
Identifier | Type | State | Issuer |
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1952121451 | NPI | - | NPPES |
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