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Individual

MRS. CARLA MANN KOSKINAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
730 HIGHLAND OAKS DR, SUITE 101, WINSTON SALEM, NC 27103-7108
(336) 765-6897
Mailing address
2801 LYNDHURST AVE, WINSTON SALEM, NC 27103-4109
(336) 768-9575
(949) 862-8929

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
102078
NC

Other

Enumeration date
09/20/2006
Last updated
09/29/2014
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