Organization
ROBBIE WILSON COMMUNITITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EYVETTE LACHELLE ABBOTT (CEO)
(336) 473-9933
Entity
Organization
Contact information
Practice address
1001 S MARSHALL ST STE 53, WINSTON SALEM, NC 27101-5858
(336) 473-9933
Mailing address
3533 N GLENN AVE, WINSTON SALEM, NC 27105-3824
(336) 473-9933
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
34D2008287
NC
Other
Enumeration date
07/16/2010
Last updated
06/07/2018
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