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1699353938
SAMUEL HAYES COLLINSWORTH
WINSTON SALEM, NC
NPI
1699353938
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-30
Last Update Date
2021-03-30
Business Address
SAMUEL HAYES COLLINSWORTH MD
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-4498
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Mailing Address
SAMUEL HAYES COLLINSWORTH MD
518 ZANARK DR
COLUMBIA, SC 29212-1040
Phone number: 803-743-7562
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