STACY WENTWORTH

GREENSBORO, NC
NPI1073792974
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2085R0001X 
(Licence: NC  200700580)
Additional Taxonomies2085R0001X 
(Licence: NC  2007-00580)
Enumeration Date2007-10-26
Last Update Date2012-08-10
Business Address
-- STACY WENTWORTH MD
501 N. ELAM AVENUE
GREENSBORO, NC 27403
Phone number: 336-832-1100
Mailing Address
-- STACY WENTWORTH MD
1317 N ELM ST STE. 1B
GREENSBORO, NC 27401-1033
Phone number: 336-274-9617
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