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Individual

ALLISON PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-4500
(336) 713-5445
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-2011

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5006915
NC

Other

Enumeration date
06/06/2014
Last updated
09/28/2016
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