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1063599587
TED JAMES NIFONG
WINSTON SALEM, NC
NPI
1063599587
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 32817)
Enumeration Date
2006-11-01
Last Update Date
2015-02-01
Business Address
DR. TED JAMES NIFONG MD
5350 S MAIN ST
WINSTON SALEM, NC 27107-9174
Phone number: 336-784-0505
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Mailing Address
DR. TED JAMES NIFONG MD
5350 S MAIN ST
WINSTON SALEM, NC 27107-9174
Phone number: 336-784-0505
Copy
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