Individual
TEDDY A GANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2925 S MAIN ST, WINSTON SALEM, NC 27127-4006
(336) 722-2009
(336) 650-9516
Mailing address
2925 S MAIN ST, WINSTON SALEM, NC 27127-4006
(336) 722-2009
(336) 650-9516
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
—
—
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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