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Organization
SOUTHSIDE UNITED HEALTH CENTERS
Active
Organization
SOUTHSIDE UNITED HEALTH CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY KOTOFSKY CPC (FINANCIAL SERVICES REPRESENTATIVE)
(336) 955-1379
Entity
Organization
Contact information
Practice address
3009 WAUGHTOWN ST, WINSTON SALEM, NC 27107
(336) 293-8728
(336) 293-8733
Mailing address
3009 WAUGHTOWN ST, WINSTON SALEM, NC 27107-1634
(336) 293-8728
(336) 293-8733
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/12/2017
Last updated
08/07/2018
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