OLD TOWN FAMILY MEDICINE, P A

WINSTON SALEM, NC
NPI1447370101
Entity TypeOrganization
Authorized ContactRICHARD RAY HERBER
President
336-922-1363
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: NC  39614)
Enumeration Date2007-03-29
Last Update Date2012-01-26
Business Address
OLD TOWN FAMILY MEDICINE, P A
3690 REYNOLDA RD
WINSTON SALEM, NC 27106-2230
Phone number: 336-922-1363
Mailing Address
OLD TOWN FAMILY MEDICINE, P A
3690 REYNOLDA RD
WINSTON SALEM, NC 27106-2230
Phone number: 336-922-1363
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