Individual
BRANDI PACE MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
186440
NC
363L00000X
Nurse Practitioner
Primary
930204
NC
363LN0000X
Neonatal Nurse Practitioner
186440
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004271
—
NC
Enumeration date
11/14/2008
Last updated
07/30/2024
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