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1730349309
WILLIS S MOZINGO
WINSTON SALEM, NC
NPI
1730349309
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NC 2011-01330)
Enumeration Date
2008-06-16
Last Update Date
2011-08-08
Business Address
WILLIS S MOZINGO M.D.
WFUBMC HOUSE STAFF OFC MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-5222
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Mailing Address
WILLIS S MOZINGO M.D.
PO BOX 24277
WINSTON SALEM, NC 27114-4277
Phone number:
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