Individual
MS. PAIGE KOONTS TESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-6428
(336) 713-6434
Mailing address
293 MAHOGANY DR, THOMASVILLE, NC 27360-9720
(336) 880-7527
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
5006844
NC
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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