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Organization

SOUTHSIDE UNITED HEALTH CENTERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CRE'SHAWNA WHITE (FINANCE DIRECTOR)
(336) 529-2163
Entity
Organization

Contact information

Practice address
2101 PETERS CREEK PKWY, WINSTON SALEM, NC 27127
(336) 955-1379
(336) 893-9987
Mailing address
PO BOX 12341, WINSTON SALEM, NC 27117-2341
(336) 955-1379
(336) 893-9987

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NC

Other

Enumeration date
08/07/2018
Last updated
03/01/2022
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