| Livewell Clinics | |
|
Medical Center Boulevard Ground Floor, Meads Hall Winston Salem NC 27106 | |
| (336) 716-2255 | |
| Not Available |
| Full Name | Livewell Clinics |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | Medical Center Boulevard, Winston Salem, North Carolina |
| Authorized Official Name and Position | Russell Mars Howerton (SR VP NETWORK PHYS & HSCMO) |
| Authorized Official Contact | 3367161331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Livewell Clinics 100 Kimel Forest Dr Winston Salem NC 27103-6074 Ph: (336) 716-1331 | Livewell Clinics Medical Center Boulevard Ground Floor, Meads Hall Winston Salem NC 27106 Ph: (336) 716-2255 |
| NPI Number | 1245006311 |
|---|---|
| Provider Enumeration Date | 11/30/2023 |
| Last Update Date | 12/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245006311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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