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900 Old Winston Road Suite 222 Kernersville NC 27284-2930 | |
(336) 992-1234 | |
(336) 992-9963 |
Full Name | |
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Speciality | Family Medicine |
Location | 900 Old Winston Road, Kernersville, North Carolina |
Authorized Official Name and Position | Grace E Terrell (PRESIDENT / CEO) |
Authorized Official Contact | 3368022400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1701 Westchester Drive Suite 850 High Point NC 27262-7254 Ph: (336) 802-2536 | 900 Old Winston Road Suite 222 Kernersville NC 27284-2930 Ph: (336) 992-1234 |
NPI Number | 1558613901 |
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Provider Enumeration Date | 10/10/2012 |
Last Update Date | 11/15/2012 |
Identifier | Type | State | Issuer |
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1558613901 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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