Individual
ALISON PERDUE KOONTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3001 LYNDHURST AVE, WINSTON SALEM, NC 27103-4007
(336) 765-0383
(336) 768-1737
Mailing address
3001 LYNDHURST AVE, WINSTON SALEM, NC 27103-4007
(336) 765-0383
(336) 768-1737
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010 00500
NC
Other
Enumeration date
12/19/2006
Last updated
03/25/2021
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