Individual
JOHN CONRAD WITHROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
207 BALFOUR DR, STE 102, ARCHDALE, NC 27263-3532
(336) 875-8134
Mailing address
207 BALFOUR DR, STE 102, ARCHDALE, NC 27263-3532
(336) 875-8134
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
246053
NC
390200000X
Student in an Organized Health Care Education/Training Program
PHYSICIAN-ERAS
NC
Other
Enumeration date
08/19/2014
Last updated
09/09/2025
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