| |
2135 New Walkertown Rd Winston Salem NC 27101-3420 | |
(336) 723-7904 | |
(336) 723-4163 |
Full Name | |
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Speciality | Clinic/center - Community Health |
Location | 2135 New Walkertown Rd, Winston Salem, North Carolina |
Authorized Official Name and Position | James Robinson (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3367601235 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2135 New Walkertown Rd Winston Salem NC 27101-3420 Ph: (336) 723-7904 | 2135 New Walkertown Rd Winston Salem NC 27101-3420 Ph: (336) 723-7904 |
NPI Number | 1801002290 |
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Provider Enumeration Date | 05/15/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801002290 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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