Individual
LETISHA JOLENE DEIBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-9797
(336) 713-5215
(336) 716-0030
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-5215
(336) 716-0030
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31502
NE
208M00000X
Hospitalist Physician
Primary
2021-02649
NC
Other
Enumeration date
06/21/2017
Last updated
08/25/2021
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