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3333 Silas Creek Pkwy Winston Salem NC 27103-3013 | |
| (336) 718-8383 | |
| (336) 718-9622 |
| Full Name | |
|---|---|
| Speciality | Hospitalist |
| Location | 3333 Silas Creek Pkwy, 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 60447 Charlotte NC 28260-0447 Ph: (336) 718-8383 | 3333 Silas Creek Pkwy Winston Salem NC 27103-3013 Ph: (336) 718-8383 |
| NPI Number | 1073863221 |
|---|---|
| Provider Enumeration Date | 09/14/2012 |
| Last Update Date | 06/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073863221 | NPI | - | NPPES |
| 5922133 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
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