Organization
HIGHROAD PEDIATRICS
Active
Other names
Winston Salem Pediatrics & Kernersville Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT ERIC TOLLEY (OFFICE MANAGER)
(336) 765-9000
Entity
Organization
Contact information
Practice address
2808 MAPLEWOOD AVE, WINSTON SALEM, NC 27103-4138
(336) 765-9000
(336) 765-5702
Mailing address
2808 MAPLEWOOD AVE, WINSTON SALEM, NC 27103-4138
(336) 765-9000
(336) 765-5702
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5903822
—
NC
05
—
5903823
—
NC
Enumeration date
07/15/2006
Last updated
09/03/2008
Update your record
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