JEROME DORIAN BOLTZ

WINSTON SALEM, NC
NPI1578510384
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NC  5005247)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: NC  5005247)
Enumeration Date2006-05-27
Last Update Date2022-01-05
Business Address
JEROME DORIAN BOLTZ NP
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2011
Mailing Address
JEROME DORIAN BOLTZ NP
PO BOX 602658
CHARLOTTE, NC 28260-2658
Phone number: 336-716-2255