Individual
SARAH PATTON SUPPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-4085
(336) 716-3010
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-0238
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01082128A
IN
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
2022-01298
NC
Other
Enumeration date
03/25/2016
Last updated
08/02/2022
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