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Individual

MR. ROMULUS THURMAN WATLINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1801 BRITTON ST, GREENSBORO, NC 27406-3132
(336) 254-9662
(336) 275-4481
Mailing address
1801 BRITTON ST, GREENSBORO, NC 27406-3132
(336) 254-9662
(336) 275-4481

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-041-026
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7801734
NC
Enumeration date
06/21/2007
Last updated
01/29/2008
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