Individual
CHARIS PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 S MARTIN LUTHER KING JR DR, WINSTON SALEM, NC 27110-0003
(336) 750-2000
Mailing address
1725 WALKER AVE, GREENSBORO, NC 27403-3395
(980) 335-9855
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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