Individual
ERIN O'MALLEY PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
131 MILLER ST, WINSTON SALEM, NC 27103-2508
(336) 716-8200
(336) 716-9841
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-04790
NC
363AM0700X
Medical Physician Assistant
0010-04790
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528481553
—
NC
Enumeration date
01/28/2014
Last updated
09/19/2025
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