Organization
FAMILY CARE HEALTH AND WELLNESS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA LEIGH SMITH (OFFICE MANAGER)
(336) 723-9002
Entity
Organization
Contact information
Practice address
1430 HSA LN, WINSTON SALEM, NC 27101-2048
(336) 723-9002
(336) 722-3780
Mailing address
1430 HSA LN, WINSTON SALEM, NC 27101-2048
(336) 723-9002
(336) 722-3780
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890162K
—
NC
Enumeration date
06/08/2005
Last updated
03/28/2008
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