Individual
MS. BEVERLY DIANE WINSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4692 BROWNSBORO ROAD, WINSTON - SALEM, NC 27106
(336) 251-1114
(336) 251-1115
Mailing address
4692 BROWNSBORO ROAD, WINSTON - SALEM, NC 27106
(336) 251-1114
(336) 251-1115
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
100815
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R77292
UHC
NC
Enumeration date
03/01/2006
Last updated
09/07/2011
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