NICHOLAS DANE PULLIAM

WINSTON SALEM, NC
NPI1891171682
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  222016)
Enumeration Date2015-08-04
Last Update Date2015-08-04
Business Address
-- NICHOLAS DANE PULLIAM CRNA
145 KIMEL PARK DR SUITE 120
WINSTON SALEM, NC 27103-6984
Phone number: 336-768-3212
Mailing Address
-- NICHOLAS DANE PULLIAM CRNA
145 KIMEL PARK DR SUITE 120
WINSTON SALEM, NC 27103-6984
Phone number: 336-768-3212