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5038 Peters Creek Pkwy Ste 150 Winston Salem NC 27127-7172 | |
| (336) 277-2710 | |
| (336) 277-2719 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 5038 Peters Creek Pkwy Ste 150, Winston Salem, North Carolina |
| Authorized Official Name and Position | Leea Jeanine Walton (RSC MANAGER) |
| Authorized Official Contact | 3365157085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 60447 Charlotte NC 28260-0447 Ph: () - | 5038 Peters Creek Pkwy Ste 150 Winston Salem NC 27127-7172 Ph: (336) 277-2710 |
| NPI Number | 1285409672 |
|---|---|
| Provider Enumeration Date | 11/16/2023 |
| Last Update Date | 07/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285409672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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