Individual
DR. CHANDA ANNETTE GRIESSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 KIMEL PARK DR STE 200, WINSTON SALEM, NC 27103-6992
(336) 760-2240
(336) 760-2239
Mailing address
150 KIMEL PARK DR, SUITE 200, WINSTON SALEM, NC 27103-6992
(336) 760-2240
(336) 760-2239
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
200301236
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89135CA
—
NC
Enumeration date
08/08/2006
Last updated
07/21/2020
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