Individual
ENRICO E PIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
190 KIMEL PARK DR, WINSTON SALEM, NC 27103-6946
(336) 768-3296
Mailing address
3064 CAMERON VILLAGE CT, WINSTON SALEM, NC 27103-3044
(336) 761-5300
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
97-01847
NC
Other
Enumeration date
03/22/2006
Last updated
04/16/2013
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