Organization
CAROLINA FAMILY MEDICINE AND DERMATOLOGY
Active
Organization
CAROLINA FAMILY MEDICINE AND DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNE L WHITE MD (OWNER)
(919) 751-9120
Entity
Organization
Contact information
Practice address
3000 BETHESDA PL, SUITE 601, WINSTON SALEM, NC 27103-3331
(919) 751-9120
(919) 751-9170
Mailing address
3000 BETHESDA PL, SUITE 601, WINSTON SALEM, NC 27103-3331
(919) 751-9120
(919) 751-9170
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8927324
—
NC
Enumeration date
03/05/2007
Last updated
11/07/2007
Update your record
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