Organization
BIRTH TISSUE RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KURT R. WEBER M.A., M.B.A. (PRESIDENT/CEO)
(336) 705-0250
Entity
Organization
Contact information
Practice address
751 BETHESDA RD, SUITE D, WINSTON SALEM, NC 27103-3300
(336) 448-1910
(336) 448-1911
Mailing address
751 BETHESDA RD, SUITE D, WINSTON SALEM, NC 27103-3300
(336) 448-1910
(336) 448-1911
Taxonomy
Speciality
Code
Description
License number
State
332G00000X
Eye Bank
Primary
—
—
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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