Organization
MEDICAL PARK HOSPITAL LLC
Active
Other names
Medical Park Professional Fee
Organization subpart
No
Provider details
NPI number
Authorized official
ALISHA HUTCHENS (PRES & COO)
(336) 995-8885
Entity
Organization
Contact information
Practice address
1950 S HAWTHORNE RD, WINSTON-SALEM, NC 27103-3912
(336) 718-0600
Mailing address
2085 FRONTIS PLAZA BLVD, WINSTON-SALEM, NC 27103-5614
(336) 277-7226
(336) 277-9795
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8907609
—
NC
Enumeration date
05/12/2006
Last updated
07/24/2025
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