is a Pediatric Infectious Diseases in Winston Salem, North Carolina. practices all healthcare services and medical treatments related to Pediatric Infectious Diseases. The NPI Number for is 1073723086. The last update date is .
's current location address is 100 Kimel Forest Dr, Winston Salem, North Carolina. You can contact this provider via phone number 3367160238. The mailing address for is 100 Kimel Forest Dr, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 100 Kimel Forest Dr, Winston Salem, North Carolina |
| Phone Number | 3367160238 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1073723086 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 100 Kimel Forest Dr |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271036074 |
| Phone Number | 3367160238 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Infectious Diseases |
|---|---|
| Taxonomy | 2080P0208X |
| Licence No | 48755 |
|
Definition: A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying disea |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 201363510 | IN | -- | |
| 7100400880 | KY | -- |
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