Organization
WINSTON SALEM STATE UNIVERSITY, A. H. RAY STUDENT HEALTH SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELODY C. PIERCE PHD (VICE CHANCELLOR STUDENT AFFAIRS)
(336) 750-3203
Entity
Organization
Contact information
Practice address
601 S MARTIN LUTHER KING JR DR, RM 244, A. H. RAY BUILDING, WINSTON SALEM, NC 27110-0001
(336) 750-3300
Mailing address
601 S MARTIN LUTHER KING JR DR, RM 244, A. H. RAY BUILDING, WINSTON SALEM, NC 27110-0001
(336) 750-3300
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
NC AW 5031 924
NC
Other
Enumeration date
04/04/2008
Last updated
06/19/2008
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