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1386229367
MADISON M STONEWALL
CLEMMONS, NC
NPI
1386229367
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-12725)
Enumeration Date
2021-03-11
Last Update Date
2023-05-18
Business Address
MADISON M STONEWALL PA-C
2235 LEWISVILLE CLEMMONS RD STE A
CLEMMONS, NC 27012-9342
Phone number: 336-568-8516
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Mailing Address
MADISON M STONEWALL PA-C
713 S MARSHALL ST
WINSTON SALEM, NC 27101-5808
Phone number: 336-722-7266
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