CLUB HAVEN FAMILY PRACTICE

WINSTON-SALEM, NC
NPI1902869829
Entity TypeOrganization
Authorized ContactTHOMAS L. JOLLY
Owner
336-768-9575
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: NC  40378/30659)
Enumeration Date2006-04-11
Last Update Date2020-08-22
Business Address
CLUB HAVEN FAMILY PRACTICE
2801 LYNDHURST AVE
WINSTON-SALEM, NC 27103-4109
Phone number: 336-768-9575
Mailing Address
CLUB HAVEN FAMILY PRACTICE
2801 LYNDHURST AVE
WINSTON-SALEM, NC 27103-4109
Phone number: 336-768-9575
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