GAVIN DOUGLAS BLAKELY

WINSTON SALEM, NC
NPI1730977711
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: TN  263673)
Enumeration Date2025-04-29
Last Update Date2025-04-29
Business Address
GAVIN DOUGLAS BLAKELY RN
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2011
Mailing Address
GAVIN DOUGLAS BLAKELY RN
1540 LEWISBURG POINTE DR
CLEMMONS, NC 27012-8391
Phone number: 775-771-5699
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