Individual
MARIA SERGEYEVNA WITHROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1121 N CHURCH ST, GREENSBORO, NC 27401-1007
(336) 988-7799
Mailing address
1007 WALKER AVE, GREENSBORO, NC 27403
(336) 344-5105
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
271289
NC
363L00000X
Nurse Practitioner
Primary
5022814
NC
Other
Enumeration date
06/24/2024
Last updated
11/20/2025
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