Individual
REGGIE NEIL WELBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2025 FRONTIS PLAZA BLVD, SUITE 200, WINSTON SALEM, NC 27103-5663
(336) 768-6211
(336) 768-6869
Mailing address
MEDICAL CENTER BLVD, SUITE 200, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3202
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-00133
NC
363AM0700X
Medical Physician Assistant
Primary
0010-00133
NC
Other
Enumeration date
06/17/2006
Last updated
06/07/2023
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