# FAMILY CARE HEALTH AND WELLNESS CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114921137
- **Authorized official:** MS. SANDRA LEIGH SMITH (OFFICE MANAGER)
- **Authorized official phone:** (336) 723-9002

## Contact information

- **Practice address:** 1430 HSA LN, WINSTON SALEM, NC 27101-2048
- **Practice address phone:** (336) 723-9002
- **Practice address fax:** (336) 722-3780
- **Mailing address:** 1430 HSA LN, WINSTON SALEM, NC 27101-2048
- **Mailing address phone:** (336) 723-9002
- **Mailing address fax:** (336) 722-3780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NC | Yes |

## Other

- **Enumeration date:** 06/08/2005
- **Last updated:** 03/28/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 890162K | — | NC |