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Individual

NATHANIEL WINSTEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10152 BEACH DR SW STE 4, CALABASH, NC 28467-0062
(910) 579-5785
Mailing address
1221 TIDEWATER DR APT 313, NORTH MYRTLE BEACH, SC 29582-6844
(252) 450-0481

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
12756
SC
225700000X
Massage Therapist
Primary
15171
NC

Other

Enumeration date
10/23/2023
Last updated
10/23/2023
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