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1381 Westgate Center Dr Winston Salem NC 27103-2934 | |
| (336) 718-0440 | |
| (336) 718-0441 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 1381 Westgate Center Dr, Winston Salem, North Carolina |
| Authorized Official Name and Position | Leea Jeanine Walton (RCS MANAGER) |
| Authorized Official Contact | 7043166081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 751803 Charlotte NC 28275-1803 Ph: (336) 718-0440 | 1381 Westgate Center Dr Winston Salem NC 27103-2934 Ph: (336) 718-0440 |
| NPI Number | 1194873901 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 07/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194873901 | NPI | - | NPPES |
| 5906950 | Medicaid | NC |
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