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Organization

FIFTH RIVER MENTAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GISELA E KNEBL KOHL MD (PRESIDENT)
(954) 558-3608
Entity
Organization

Contact information

Practice address
755 HIGHLAND OAKS DR, SUITE 202, WINSTON SALEM, NC 27103-7106
(336) 608-4060
(336) 665-8188
Mailing address
1112 OAKENCROFT CT, LEWISVILLE, NC 27023-8727
(336) 608-4060

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
NC

Other

Enumeration date
02/14/2011
Last updated
02/14/2011
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