Individual
DR. CYNDY EDWARDS LIVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1417 BROOKSTOWN AVE, WINSTON SALEM, NC 27101-1126
(336) 725-7220
Mailing address
1417 BROOKSTOWN AVE, WINSTON SALEM, NC 27101-1126
(336) 725-7220
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
26843
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8901759
—
NC
Enumeration date
03/30/2009
Last updated
03/30/2009
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