Individual
NANCY ALEXIS NIFONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5350 S MAIN ST, WINSTON SALEM, NC 27107-9174
(336) 784-0505
(336) 784-5031
Mailing address
5350 S MAIN ST, WINSTON SALEM, NC 27107-9174
(336) 784-0505
(336) 784-5031
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2015-01766
NC
Other
Enumeration date
03/28/2012
Last updated
08/04/2021
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