Organization
DEPARTMENT OF VETERANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI EVERETT (BROS)
(336) 768-3296
Entity
Organization
Contact information
Practice address
190 KIMEL PARK DR, WINSTON SALEM, NC 27103-6946
(336) 768-3296
Mailing address
4280 LAKE CLIFF DR, CLEMMONS, NC 27012-8408
(828) 719-0573
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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