Organization
MAPLEWOOD PSYCHIATRIC ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI JARRAHI M.D. (PRESIDENT)
(336) 768-2424
Entity
Organization
Contact information
Practice address
2830 MAPLEWOOD AVE, SUITE A, WINSTON SALEM, NC 27103-4100
(336) 768-2424
(336) 768-1857
Mailing address
2830 MAPLEWOOD AVE, SUITE A, WINSTON SALEM, NC 27103-4100
(336) 768-2424
(336) 768-1857
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16722
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45827
BLUE CROSS BLUE SHIELD
NC
05
—
8945827
—
NC
Enumeration date
12/16/2007
Last updated
02/10/2014
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