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1447370101
OLD TOWN FAMILY MEDICINE, P A
WINSTON SALEM, NC
NPI
1447370101
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Entity Type
Organization
Authorized Contact
RICHARD RAY HERBER
President
336-922-1363
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: NC 39614)
Enumeration Date
2007-03-29
Last Update Date
2012-01-26
Business Address
OLD TOWN FAMILY MEDICINE, P A
3690 REYNOLDA RD
WINSTON SALEM, NC 27106-2230
Phone number: 336-922-1363
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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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