Individual
DAWN ANTOINETTE MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1900 W PARK DR STE C, NORTH WILKESBORO, NC 28659-3563
(336) 903-6920
(336) 903-6921
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-0238
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011119
NC
Other
Enumeration date
10/15/2018
Last updated
11/06/2023
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