KIMBERLEE BANKS BLAYLOCK

WINSTON SALEM, NC
NPI1225024029
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0001-04141)
Enumeration Date2005-09-27
Last Update Date2007-07-08
Business Address
Mrs. KIMBERLEE BANKS BLAYLOCK P.A.-C
170 KIMEL PARK DR
WINSTON SALEM, NC 27103-6946
Phone number: 336-768-1270
Mailing Address
Mrs. KIMBERLEE BANKS BLAYLOCK P.A.-C
2240 REMOUNT RD
GASTONIA, NC 28054-4725
Phone number: 704-671-5311
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